| NPI | 1083623201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LI Dentist/Owner 773-227-1048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060-008668) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |