| NPI | 1972816650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAD NOURAHMADI NOURAHMADI President 312-217-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 019028115) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |