| NPI | 1134446370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADI M. AGEL Owner/General Dentist 708-439-4655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D12501) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-05-20 |