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Organization
NEW ENGLAND DENTAL GROUP, P.C.
Active
Organization
NEW ENGLAND DENTAL GROUP, P.C.
Active
Parent organization
NEW ENGLAND DENTAL GROUP, P.C.
Other names
Bright Dental of Logan Square
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW ENGLAND DENTAL GROUP, P.C.
Authorized official
DR. KENNETH CHAE DDS (PRESIDENT)
(773) 276-9280
Entity
Organization
Contact information
Practice address
3300 W ARMITAGE AVE, CHICAGO, IL 60647-3718
(773) 276-9280
(773) 276-9281
Mailing address
3300 W ARMITAGE AVE, CHICAGO, IL 60647-3718
(773) 276-9280
(773) 276-9281
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026145
IL
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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