| NPI | 1205109188 |
|---|---|
| Doing Business As | LAKE POINT TOWER DENTAL |
| Entity Type | Organization |
| Authorized Contact | YOUNG CHOI Owner 312-467-3201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 021002061) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019025040) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |