| NPI | 1730485020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANH NGUYEN Owner/Dentist 312-320-3268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026820) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-03 |