| NPI | 1053607150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMI MOHAMED DIAB Owner 312-451-7264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027963) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2023-07-26 |