NPI | 1598932030 |
---|---|
Entity Type | Organization |
Authorized Contact | NASRIN AZIMZADEH Owner 312-587-0200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024883) |
Enumeration Date | 2008-05-14 |
Last Update Date | 2008-05-14 |