NPI | 1942370275 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID TOAN NGUYEN President 630-462-9047 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024228) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2022-08-23 |