| NPI | 1003449018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM HAFEZI General Dentist 630-851-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-03-02 |