| NPI | 1245482025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED ABUGHAZALEH President 312-498-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019024034) |
| Enumeration Date | 2008-10-11 |
| Last Update Date | 2008-10-11 |