NPI | 1568690790 |
---|---|
Doing Business As | BUCKTOWN DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | YASSER ELSEWEIFI President 630-464-1474 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019023492) |
Enumeration Date | 2009-06-25 |
Last Update Date | 2013-10-01 |