| NPI | 1548436959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEONG JU KIM General Dentist 773-404-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025117) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |