| NPI | 1184878936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA I KHOURI Dentist 708-233-6512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-024218) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |