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Organization
PRECISION DENTAL CARE 5 LLC
Active
Organization
PRECISION DENTAL CARE 5 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHANH NGUYEN D.D.S. (OWNER)
(773) 284-5510
Entity
Organization
Contact information
Practice address
5745 W BELMONT AVE, CHICAGO, IL 60634-5211
(773) 284-5510
Mailing address
6930 S PULASKI RD, CHICAGO, IL 60629-4223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026820
IL
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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