| NPI | 1952659005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHZAD SANEI President 773-252-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.028529) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |