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 |