| NPI | 1477725539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANISHKUMAR R GANDHI President/Owner 773-376-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 19015777) |
| Enumeration Date | 2008-03-29 |
| Last Update Date | 2008-03-29 |