NPI | 1548433063 |
---|---|
Doing Business As | FOREVER DENTAL |
Entity Type | Organization |
Authorized Contact | RESHMA DHAKE Dentist 773-847-6453 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019026409) |
Enumeration Date | 2008-04-04 |
Last Update Date | 2015-10-21 |