| NPI | 1518023902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIA A DAJANI Owner 708-598-8760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |