Organization
BERWYN DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NGOC BICH NGUYEN DDS (PRESIDENT)
(773) 369-5536
Entity
Organization
Contact information
Practice address
6218 CERMAK RD, BERWYN, IL 60402-2322
(708) 317-5150
Mailing address
6218 CERMAK RD, BERWYN, IL 60402-2322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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