| NPI | 1124629076 |
|---|---|
| Doing Business As | DOUGLAS DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD MOEIN AZIMI Owner 630-999-9637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |