NPI | 1639342454 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES H CHEN President 847-328-3573 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025562) |
Enumeration Date | 2008-04-12 |
Last Update Date | 2008-04-18 |