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 |