Organization
MINT DENTAL CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUI JUN PARK (PRESIDENT)
(872) 254-1008
Entity
Organization
Contact information
Practice address
4635 W 63RD ST, STE D, CHICAGO, IL 60629-5559
(872) 254-1008
(847) 665-0416
Mailing address
4635 W 63RD ST, STE D, CHICAGO, IL 60629-5559
(872) 254-1008
(847) 665-0416
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025067
IL
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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