NPI | 1730547936 |
---|---|
Entity Type | Organization |
Authorized Contact | JABAL R PATEL Owner 847-354-0127 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.026938) |
Enumeration Date | 2016-02-02 |
Last Update Date | 2016-02-02 |