NPI | 1518015726 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE K PAEK President 847-821-8890 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019-023569) |
Enumeration Date | 2007-01-07 |
Last Update Date | 2011-01-25 |