NPI | 1821371956 |
---|---|
Doing Business As | FAMILIA DENTAL |
Entity Type | Organization |
Authorized Contact | KOUSHAN H AZAD President 888-988-4066 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019026920) |
Enumeration Date | 2011-09-26 |
Last Update Date | 2011-09-26 |