| NPI | 1477534329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANY YOUSSEF MOHAMED Dds 708-636-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019018916) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2020-08-22 |