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Organization
OAK PARK ORAL SURGERY, P.C.
Active
Organization
OAK PARK ORAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY C. FUNG D.D.S. (PRESIDENT)
(708) 383-8228
Entity
Organization
Contact information
Practice address
821 S OAK PARK AVE, OAK PARK, IL 60304-1217
(708) 383-8228
(708) 383-8288
Mailing address
821 S OAK PARK AVE, OAK PARK, IL 60304-1217
(708) 383-8228
(708) 383-8288
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019018956
IL
Other
Enumeration date
06/14/2009
Last updated
06/14/2009
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