NPI | 1699828673 |
---|---|
Entity Type | Organization |
Authorized Contact | JUNHO BAIK President 847-480-2292 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019023294) |
Enumeration Date | 2007-01-21 |
Last Update Date | 2020-08-22 |