| NPI | 1396830394 |
|---|---|
| Doing Business As | WATERTOWER FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | EMAN A SHIRAZI Owner 847-854-2970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19025647) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2009-11-09 |