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Organization
PEARLY WHITE DENTAL CENTER. P.C.
Active
Organization
PEARLY WHITE DENTAL CENTER. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VU DANG DDS (PRESIDENT)
(773) 338-7799
Entity
Organization
Contact information
Practice address
2702 W TOUHY AVE, CHICAGO, IL 60645-3008
(773) 338-7799
(773) 338-7797
Mailing address
2702 W TOUHY AVE, CHICAGO, IL 60645-3008
(773) 338-7799
(773) 338-7797
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005519
—
IL
Enumeration date
04/18/2008
Last updated
04/18/2008
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