| NPI | 1992838551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYROSLAW DYCHIY President 773-486-5264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19026279) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |