NPI | 1912644022 |
---|---|
Doing Business As | Q DENTAL |
Entity Type | Organization |
Authorized Contact | KWUNHO KELVIN JUNG Dentist/President 217-722-6415 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-05-19 |
Last Update Date | 2022-05-19 |