NPI | 1225660046 |
---|---|
Entity Type | Organization |
Authorized Contact | AHMAD MILLWALA Owner 773-732-8288 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Additional Taxonomies | 1223P0300X Dentist, Periodontics |
Enumeration Date | 2020-02-10 |
Last Update Date | 2020-02-10 |