| NPI | 1700310315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIDEH NIKOO DAFTARY Owner 312-922-1898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025332) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |