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Organization
NORTHWEST DENTISTRY
Active
Organization
NORTHWEST DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAO HOAI BUI DMD (OWNER)
(773) 631-6677
Entity
Organization
Contact information
Practice address
6676 N NORTHWEST HWY, SUITE 1, CHICAGO, IL 60631-1306
(773) 631-6677
(773) 631-6679
Mailing address
6676 N NORTHWEST HWY, SUITE 1, CHICAGO, IL 60631-1306
(773) 631-6677
(773) 631-6679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026286
IL
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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