| NPI | 1275874182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMJOD ALDOLLAL President 773-847-9004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 019028531) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |