| NPI | 1063754232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZISHAN BADER General Dentist 708-369-6232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019028083) |
| Additional Taxonomies | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2023-12-07 |