| 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 |