| 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 |