Organization
EAST ERIE DENTAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAN MINGH NGUYEN D.D.S. (PRESIDENT)
(312) 587-0200
Entity
Organization
Contact information
Practice address
233 E ERIE ST, SUITE 406, CHICAGO, IL 60611-2926
(312) 587-0200
(312) 587-0223
Mailing address
233 E ERIE ST, SUITE 406, CHICAGO, IL 60611-2926
(312) 587-0200
(312) 587-0223
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
IL
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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