| NPI | 1770020828 |
|---|---|
| Doing Business As | IMAN ORAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | RAMI NASHASHIBI Executive Director 773-434-4626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2018-09-26 |