NPI | 1184798639 |
---|---|
Former Legal Business Name | THOMAS G.BLECK DDS AND EMAM J. ALSAHLANI DMD, LTD |
Entity Type | Organization |
Authorized Contact | ABDUL MONIM ALBAZZAZ Dentist And Vice President 847-336-2800 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223E0200X Dentist, Endodontics |
1223P0300X Dentist, Periodontics | |
Enumeration Date | 2006-11-17 |
Last Update Date | 2023-08-04 |