| NPI | 1437403029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KABIL CHUNPRAPAPH President 331-212-5085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019025947) |
| Enumeration Date | 2012-11-03 |
| Last Update Date | 2012-11-03 |