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Organization
NORTHWEST NAPERVILLE DENTAL CLINIC
Active
Organization
NORTHWEST NAPERVILLE DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YONG TAEK SHIM D.D.S. (PRESIDENT)
(630) 717-7055
Entity
Organization
Contact information
Practice address
1620 PEBBLEWOOD LN, SUITE 152, NAPERVILLE, IL 60563-9075
(630) 717-7055
(630) 717-7885
Mailing address
1620 PEBBLEWOOD LN, SUITE 152, NAPERVILLE, IL 60563-9075
(630) 717-7055
(630) 717-7885
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
04/14/2008
Last updated
04/20/2008
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