| NPI | 1114190675 |
|---|---|
| Doing Business As | BRICKYARD FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | KYUI HYUN KIM President 312-520-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027115) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-08-30 |