| NPI | 1316119993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA JALILI KMOSHNOOD President Dentist 773-761-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019020679) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |