| NPI | 1992834485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAYAM ZAREI President 773-772-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 01923580) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |