| NPI | 1487478707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AQIL VALIKA Dentist/Owner 224-402-4382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |