| NPI | 1700062700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINH NGUYEN President 773-275-8083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019020165) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2008-01-21 |