| NPI | 1538472477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H. JOHNNY I KUTTAB Pediatric Dentistry 847-971-8847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: IL 019.027640) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2022-02-16 |