| NPI | 1760634687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOUNG EUN SONG Owner 847-724-0980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019023678) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |