| NPI | 1568841344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUDONG XU President 217-607-1292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026810) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |