| NPI | 1821492463 |
|---|---|
| Doing Business As | ADVANCED DENTAL MAKEOVER |
| Entity Type | Organization |
| Authorized Contact | FAWAZ KANNOUT Owner 773-604-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024870) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |