| NPI | 1407905169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGARWAL K AGARWAL Owner 708-747-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019017852) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |