| NPI | 1083788194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHESH M PATEL Owner 773-489-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019020830) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |