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Organization
YUMMY DENTAL
Active
Organization
YUMMY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE YUM (DOCTOR OWNER)
(312) 988-9855
Entity
Organization
Contact information
Practice address
3500 N LINCOLN AVE, CHICAGO, IL 60657-1104
(312) 773-7994
Mailing address
3500 N LINCOLN AVE, CHICAGO, IL 60657-1104
(312) 773-7994
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
021002143
IL
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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