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Organization
MOLAR CITY, P.C.
Active
Organization
MOLAR CITY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN GARSON NG DDS (PRESIDENT)
(646) 387-8715
Entity
Organization
Contact information
Practice address
4620 N WESTERN AVE, CHICAGO, IL 60625
(708) 552-0275
Mailing address
2330 W SAINT PAUL AVE APT 602, CHICAGO, IL 60647-5617
(646) 387-8715
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2019
Last updated
03/15/2019
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