| NPI | 1033847520 |
|---|---|
| Doing Business As | CANAM DENTAL |
| Entity Type | Organization |
| Authorized Contact | PETER STATHAKIS Staff 312-274-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-26 |