| NPI | 1841563475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUHA MUSEITIF NAKIB Periodontist 773-823-1924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002328) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019028803) |
| 1223P0300X Dentist, Periodontics (Licence: OH 021001685) | |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |