Organization
WOODSTOCK DENTAL ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUNGYOON HA DDS (ASSOCIATE)
(815) 338-1138
Entity
Organization
Contact information
Practice address
666 W JACKSON ST STE B, WOODSTOCK, IL 60098-3198
(815) 338-1138
(815) 338-3910
Mailing address
666 W JACKSON ST STE B, WOODSTOCK, IL 60098-3198
(815) 338-1138
(815) 338-3910
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
019025426
IL
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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