| NPI | 1568712123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIL SHAH President 708-652-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027410) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |