| NPI | 1396881090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASIR J AHMED President 773-685-9848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-022132) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |