| NPI | 1043720907 |
|---|---|
| Doing Business As | CHICAGO DENTAL BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | ROHI ATASSI Dentist 312-868-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019030540) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |