| NPI | 1265881932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOAH H ROSEN Dentist 773-248-6140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.029733) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2025-10-09 |