| NPI | 1811165046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADI AKHRAS President 708-799-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019025541) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |