| NPI | 1659876548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARPREET TIWANA Owner Dentist 708-990-4806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 61181) |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2018-03-24 |