NPI | 1275901464 |
---|---|
Doing Business As | SKY DENTAL |
Entity Type | Organization |
Authorized Contact | ALI TAGHIPOUR Dentist/Practice Owner 773-840-8484 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019.027396) |
Enumeration Date | 2015-09-04 |
Last Update Date | 2015-09-04 |