Organization
JS DENTAL CARE LLC
Active
Other names
Pallotto Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JEE SUN KIM (MANAGER)
(571) 263-4824
Entity
Organization
Contact information
Practice address
18610 BURNHAM AVE STE D, LANSING, IL 60438-3500
(708) 895-0778
Mailing address
236 S RACINE AVE APT 203, CHICAGO, IL 60607-2919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
11/08/2023
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