| NPI | 1811433642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUN JEONG AHN Owner 847-282-0279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002473) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |