| NPI | 1164723565 | 
|---|---|
| Doing Business As | AIS | 
| Entity Type | Organization | 
| Authorized Contact | EROS SANTOS General Manager 773-283-3232  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 122300000X Dentist (Licence: IL 319012418)  | 
| Enumeration Date | 2010-11-16 | 
| Last Update Date | 2010-11-16 |