| NPI | 1164752929 |
|---|---|
| Former Legal Business Name | OAK PARK DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | SHAFA AMIRSOLTANI Dr. 708-383-3377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2018-10-25 |