NPI | 1215337779 |
---|---|
Entity Type | Organization |
Authorized Contact | YOUNG SHIN General Dentist 773-940-1967 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019.029678) |
Enumeration Date | 2014-09-02 |
Last Update Date | 2014-09-02 |