NPI | 1013147024 |
---|---|
Entity Type | Organization |
Authorized Contact | GRACE YUM Doctor Owner 312-988-9855 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021002143) |
Enumeration Date | 2009-07-24 |
Last Update Date | 2009-07-24 |