| NPI | 1912354531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHAVAL M PATEL Dentist 847-870-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019029406) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |