| NPI | 1164960761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED IQBAL Owner Dentist 708-522-4457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 30664) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |