| NPI | 1356488365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADI M AQEL Dentist 773-247-5707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026128) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |