| NPI | 1184960601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAHAREH SABZEHEI President 312-343-0568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN19993) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-01-02 |