NPI | 1891076709 |
---|---|
Entity Type | Organization |
Authorized Contact | FUWAD AL-SABEK President 630-696-6173 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 021002132) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: IL 019026438) |
Enumeration Date | 2011-09-06 |
Last Update Date | 2011-11-09 |