| NPI | 1831490911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MKRDICHIAN Dentist/Owner 773-465-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019018642) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |