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 |