NPI | 1255504510 |
---|---|
Entity Type | Organization |
Authorized Contact | GHASSAN FATHI ABDALLAH Dentist 708-599-8122 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019022620) |
Enumeration Date | 2008-04-08 |
Last Update Date | 2008-04-08 |