NPI | 1053618462 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL I SONG Dr/Owner 847-259-5600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.024518) |
Enumeration Date | 2011-02-21 |
Last Update Date | 2011-02-21 |