| NPI | 1063667814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON N OHEMENG President 708-848-6166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019021808) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |