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Organization
YOUNG ESTHETICS
Active
Organization
YOUNG ESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNG SHIN (GENERAL DENTIST)
(773) 940-1967
Entity
Organization
Contact information
Practice address
3142 W CERMAK RD, CHICAGO, IL 60623-3306
(773) 940-1967
Mailing address
3142 W CERMAK RD, CHICAGO, IL 60623-3306
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019.029678
IL
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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