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 |