| NPI | 1124359575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES IKJAE KWON Owner/ Dentist 847-991-0903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: IL 019026324) |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2025-06-16 |