| NPI | 1720259831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED RAHIMA Dentist 708-802-6990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019022188) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |