| NPI | 1073108841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWAL GARUBA Dentist 708-608-3368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-05-25 |