Organization
METRO DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INCHUN YANG DDS (CEO)
(224) 392-2403
Entity
Organization
Contact information
Practice address
2746 W FULLERTON AVE, CHICAGO, IL 60647-3059
(224) 392-2403
Mailing address
1541 MARKET ST, DES PLAINES, IL 60016-4608
(224) 392-2403
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025360
IL
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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