| NPI | 1093296857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOUFEEK DABAH President 847-322-2369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019030232) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-11-16 |