| NPI | 1932384211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAYAL SHAH President 708-788-6768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026277) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |