| NPI | 1720249907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA W. MOUSSA President 773-769-4585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024234) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-06-20 |