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 |