| NPI | 1013797828 |
|---|---|
| Doing Business As | DOWNERS GROVE DENTAL SPA |
| Entity Type | Organization |
| Authorized Contact | AHMED M HEGAZY Owner 646-270-0496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2023-09-29 |