| NPI | 1083885271 |
|---|---|
| Doing Business As | MONTROSE ASHLAND DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | SALMAN UMAR POOTHAWALA Dentist 773-275-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019026329) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |