| NPI | 1982069126 |
|---|---|
| Doing Business As | ALSIP DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MAZAR S SHUAIPAJ President 708-489-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2023-03-29 |