| NPI | 1104139096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNDEEP DHAWAN President 708-261-5208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019028275) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2011-12-21 |