NPI | 1265290704 |
---|---|
Former Legal Business Name | COMPREHENSIVE DENTAL SPECIALIST PLLC |
Entity Type | Organization |
Authorized Contact | SAADALLAH JABRI Owner 630-450-4197 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-03-11 |
Last Update Date | 2024-03-11 |