NPI | 1033465711 |
---|---|
Other Name | DR VICTOR TOMASIAN DMD LTD |
Entity Type | Organization |
Authorized Contact | VICTOR W TOMASIAN President 773-262-8393 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 019022349) |
Enumeration Date | 2012-07-31 |
Last Update Date | 2012-07-31 |