| NPI | 1912119553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANH P NGUYEN President 312-320-3268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026820) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |