| NPI | 1508590415 |
|---|---|
| Doing Business As | TOOTHTOWN DENTAL ADDISON |
| Entity Type | Organization |
| Authorized Contact | YUSUF FAHMY Owner 630-352-1547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2022-07-15 |