NPI | 1568574333 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD HYOSHIN SHIM President Dentist 847-437-2535 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019023515) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |