| NPI | 1881839280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER SHAKHET Owner 224-433-6982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025657) |
| Enumeration Date | 2008-12-13 |
| Last Update Date | 2008-12-13 |