| NPI | 1588093033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL T KIM Owner 847-726-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019019727) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |