| NPI | 1295183424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVANTI SANGHAVI Dentist 312-964-5056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019028622) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |