| NPI | 1528232709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH Y WU Dentist 708-423-5191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019016102) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |