Individual
NANCY M NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
200 W. LAKE STREET, ADDISON, IL 60101
(888) 988-4066
Mailing address
505 N LAKE SHORE DR APT 2611, CHICAGO, IL 60611-6419
(410) 814-8226
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.027874
IL
122300000X
Dentist
DS 037307
PA
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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