| NPI | 1215369046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMI M DIAB President/ Owner 312-451-7264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: IL 019027963) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |