NPI | 1407979644 |
---|---|
Doing Business As | OPTIMA FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | JOHN YOSEPH-ANHAR President 773-725-6606 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-08-22 |