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Organization
PLUS DENTAL
Active
Organization
PLUS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUKYONG CHANG (PRESIDENT)
(773) 777-8686
Entity
Organization
Contact information
Practice address
4801 W PETERSON AVE, SUITE #309, CHICAGO, IL 60646-5713
(773) 777-8686
(773) 777-8688
Mailing address
4801 W PETERSON AVE, SUITE #309, CHICAGO, IL 60646-5713
(773) 777-8686
(773) 777-8688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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