| NPI | 1407253339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMAD BAHRANI Owner/Doctor 773-282-7906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019017511) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |