Organization
IMPLANT ENDO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYUNG-SOO CHOI DDS (PRESIDENT)
(213) 245-4564
Entity
Organization
Contact information
Practice address
505 N LAKE SHORE DR STE 215, CHICAGO, IL 60611-3678
(312) 467-3771
(312) 467-4684
Mailing address
505 N LAKE SHORE DR STE 215, CHICAGO, IL 60611-3678
(213) 245-4564
(312) 467-4684
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019024334
IL
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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