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Organization

OAK PARK ORAL SURGERY, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HENRY C. FUNG D.D.S. (PRESIDENT)
(708) 383-8228
Entity
Organization

Contact information

Practice address
821 S OAK PARK AVE, OAK PARK, IL 60304-1217
(708) 383-8228
(708) 383-8288
Mailing address
821 S OAK PARK AVE, OAK PARK, IL 60304-1217
(708) 383-8228
(708) 383-8288

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019018956
IL

Other

Enumeration date
06/14/2009
Last updated
06/14/2009
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