Organization
MEDIPRODENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOOSUK KO DDS (GENERAL DENTIST)
(929) 340-9390
Entity
Organization
Contact information
Practice address
109 N MILWAUKEE AVE FL 2, WHEELING, IL 60090-3013
(929) 340-9390
Mailing address
752 SIGMUND RD, NAPERVILLE, IL 60563-1338
(929) 340-9390
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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