| NPI | 1942358189 |
|---|---|
| Doing Business As | LINCOLN PARK ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | GABRIEL SIM President 773-871-2161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 021001924) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2020-08-22 |