| NPI | 1245471291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAO HOAI BUI Owner 773-631-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026286) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |