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Organization
NORTH CHICAGO DENTAL,LTD
Active
Organization
NORTH CHICAGO DENTAL,LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIENG CHHAY (DENTIST)
(773) 226-0621
Entity
Organization
Contact information
Practice address
2879 N MILWAUKEE AVE, CHICAGO, IL 60618-7422
(773) 227-0621
(773) 227-9281
Mailing address
2879 N MILWAUKEE AVE, CHICAGO, IL 60618-7422
(773) 227-0621
(773) 227-9281
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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