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Organization
VONGLUEKIAT & CHOI LLC
Active
Organization
VONGLUEKIAT & CHOI LLC
Active
Other names
Bridgeport Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN VONGLUEKIAT DDS (OWNER)
(312) 791-0920
Entity
Organization
Contact information
Practice address
2959 S WALLACE ST, CHICAGO, IL 60616-3034
(312) 791-0920
Mailing address
2959 S WALLACE ST, CHICAGO, IL 60616-3034
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027344
IL
1223G0001X
General Practice Dentistry
019027363
IL
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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