| NPI | 1659418861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADI M AQEL Dentist 773-884-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026128) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |