| NPI | 1629558762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL OSOBU President 312-493-6089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019030498) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |