| NPI | 1801060421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL J SHIKAMI President 708-754-1063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019018895) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2017-01-20 |