| NPI | 1447086772 |
|---|---|
| Doing Business As | TEETH BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | RIZWANA MASKATIYA Owner 773-857-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-13 |