| NPI | 1831411990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VI QUAN QUAN President 773-405-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-026196) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |