NPI | 1730898933 |
---|---|
Entity Type | Organization |
Authorized Contact | MOHAMMED QAISI Owner 773-296-7645 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
Enumeration Date | 2022-11-16 |
Last Update Date | 2022-11-16 |