| NPI | 1205140472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMEET BAGAI President 773-767-1554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025044) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |