| NPI | 1063789584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SINAN RAZZAK Owner 708-863-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027470) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2012-03-25 |