NPI | 1831585777 |
---|---|
Entity Type | Organization |
Authorized Contact | CARL M KHALID General Dentist 773-465-8901 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019018963) |
Enumeration Date | 2015-04-07 |
Last Update Date | 2015-04-07 |