| NPI | 1851871727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED REHMAN Owner 224-366-0406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 1001191-15) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |