| NPI | 1679852057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMI VAIDYA Dentist 773-533-4323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027900) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |