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Organization
PRECISION DENTAL CARE 3, LLC
Active
Organization
PRECISION DENTAL CARE 3, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHANH NGUYEN DDS (OWNER/DENTIST)
(312) 320-3268
Entity
Organization
Contact information
Practice address
4317 S ASHLAND AVE, CHICAGO, IL 60609-3140
(312) 320-3268
Mailing address
2035 S INDIANA AVE APT 503, CHICAGO, IL 60616-2461
(312) 320-3268
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026820
IL
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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