NPI | 1902018948 |
---|---|
Entity Type | Organization |
Authorized Contact | REEM SABBAGH Dentist 773-871-4964 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025390) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2012-08-09 |