| NPI | 1992048912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZISH HASAN JAFRI Dentist 815-708-2762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019028807) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |