NPI | 1609109214 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMEERA HUSSAIN Owner / Dentist 630-750-1405 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 010099) |
Enumeration Date | 2009-09-14 |
Last Update Date | 2009-09-14 |