Organization
FORTRESS DENTAL CORPORATION
Active
Other names
High Point Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VU KONG D.D.S (PRESIDENT)
(517) 414-9468
Entity
Organization
Contact information
Practice address
1350 E. CHICAGO ST, SUITE 4, ELGIN, IL 60120
(847) 760-6100
(847) 760-6101
Mailing address
1350 E. CHICAGO ST, SUITE 4, ELGIN, IL 60120
(847) 760-6100
(847) 760-6101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027676
IL
1223G0001X
General Practice Dentistry
019027705
IL
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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