NPI | 1689870362 |
---|---|
Entity Type | Organization |
Authorized Contact | NAJUNG KIM Secretary 847-291-1199 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025910) |
Enumeration Date | 2007-06-21 |
Last Update Date | 2008-01-22 |