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Organization
PLUM GROVE FAMILY DENTAL
Active
Organization
PLUM GROVE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YE WANG DMD (THE PRESIDENT)
(847) 221-5860
Entity
Organization
Contact information
Practice address
2166 PLUM GROVE RD, ROLLING MEADOWS, IL 60008-1932
(847) 221-5860
(847) 221-5861
Mailing address
2166 PLUM GROVE RD, ROLLING MEADOWS, IL 60008-1932
(847) 221-5860
(847) 221-5861
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025656
IL
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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