NPI | 1861704975 |
---|---|
Entity Type | Organization |
Authorized Contact | PRISCILLA YEUNG President 847-445-2958 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 021002142) |
Enumeration Date | 2010-07-06 |
Last Update Date | 2010-07-06 |