Organization
NSE EKPENYONG, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NSE EKPENYONG (DOCTOR/OWNER)
(708) 339-6800
Entity
Organization
Contact information
Practice address
15445 S PARK AVE, SOUTH HOLLAND, IL 60473-1302
(708) 339-6800
Mailing address
15445 S PARK AVE, SOUTH HOLLAND, IL 60473-1302
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019127836
IL
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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