NPI | 1881128874 |
---|---|
Entity Type | Organization |
Authorized Contact | FARIDEH NIKOO DAFTARY Owner 312-922-1898 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025332) |
Enumeration Date | 2017-04-17 |
Last Update Date | 2017-04-17 |