| NPI | 1144839424 |
|---|---|
| Doing Business As | KEDZIE47 DENTAL |
| Entity Type | Organization |
| Authorized Contact | MUZAFFAR MIRZA President 630-501-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2021-10-28 |