| NPI | 1376915348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANH NGUYEN Owner 773-284-5510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026820) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |