| NPI | 1932655388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD MILLWALA President 773-732-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 30759) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |