| NPI | 1316156383 |
|---|---|
| Doing Business As | SOUTHTOWN DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | C G RAMMOHAN President 773-785-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019021989) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |