| NPI | 1063685196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIRAS F EL-MUQDAD President 708-222-8995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019026154) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |