| NPI | 1578737052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA G. VAHDANI Dentist 773-262-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019021835) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |