| NPI | 1386053973 |
|---|---|
| Doing Business As | CHICAGO DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DAE HO KIM President/Dentist 425-353-4469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 60307878) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |