NPI | 1821317421 |
---|---|
Entity Type | Organization |
Authorized Contact | ANKUR VINOD SHAH Dentist 847-800-3604 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027891) |
Enumeration Date | 2010-05-20 |
Last Update Date | 2010-05-20 |