| NPI | 1548545700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPAK AGARWAL President 815-609-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019025771) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |