NPI | 1588039580 |
---|---|
Entity Type | Organization |
Authorized Contact | VICKEN ISKHANIAN Owner 847-241-4161 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024873) |
Enumeration Date | 2015-12-02 |
Last Update Date | 2015-12-02 |