NPI | 1619350675 |
---|---|
Entity Type | Organization |
Authorized Contact | SOO H LEE President 847-310-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027246) |
Enumeration Date | 2015-07-08 |
Last Update Date | 2015-07-08 |