| NPI | 1750775276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC A QURESHI General Dentist 708-482-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019029531) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |