| 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 |