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Individual

DR. JAE SANG OH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(847) 688-2100
Mailing address
842 WAUKEGAN RD, NORTHBROOK, IL 60062-3714
(858) 943-1174

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019.031875
IL
122300000X
Dentist
Primary
107185
CA

Other

Enumeration date
09/12/2018
Last updated
06/11/2024
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