| NPI | 1932679560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDULHASSAN ALIAKBAR TAWOOSI General Dentist/Owner 773-546-8317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2022-03-01 |