| NPI | 1841932191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD MILLWALA Owner 773-732-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2024-07-30 |