# YUMMY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013147024
- **Authorized official:** DR. GRACE YUM (DOCTOR OWNER)
- **Authorized official phone:** (312) 988-9855

## Contact information

- **Practice address:** 3500 N LINCOLN AVE, CHICAGO, IL 60657-1104
- **Practice address phone:** (312) 773-7994
- **Mailing address:** 3500 N LINCOLN AVE, CHICAGO, IL 60657-1104
- **Mailing address phone:** (312) 773-7994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 021002143 | IL | Yes |

## Other

- **Enumeration date:** 07/24/2009
- **Last updated:** 07/24/2009
