Organization
DENTAL ASSOCIATES OF BRYN MAWR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INSUN KIM DDS (OFFICER)
(773) 463-1212
Entity
Organization
Contact information
Practice address
3224 W BRYN MAWR AVE, CHICAGO, IL 60659-3606
(773) 463-1212
Mailing address
3224 W BRYN MAWR AVE, CHICAGO, IL 60659-3606
(773) 463-1212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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