| NPI | 1588896906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM MOGHADAM President 773-889-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019025838) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |