| NPI | 1164753117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMEERA HUSSAIN Owner / Dentist 630-750-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 010099) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |