| NPI | 1518610617 |
|---|---|
| Doing Business As | CANAM DENTAL |
| Entity Type | Organization |
| Authorized Contact | PETER STATHAKIS Credentialing 312-274-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-11-01 |