| NPI | 1972740991 |
|---|---|
| Doing Business As | TIC TAC TOOTH PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ASIM AWAN Dentist 312-480-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019027437) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2022-07-21 |