| NPI | 1588083059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHENDRA TOLIA Dentist 847-608-7910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019017345) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |