NPI | 1376976563 |
---|---|
Entity Type | Organization |
Authorized Contact | MILAD NOURAHMADI President 312-217-2223 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019028115) |
Enumeration Date | 2013-08-12 |
Last Update Date | 2013-08-12 |