Individual
LAUREN MING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 AUSTIN ST STE 506, EVANSTON, IL 60202-3445
(818) 390-0722
Mailing address
4311 N SHERIDAN RD APT 106, CHICAGO, IL 60613-5464
(818) 390-0722
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019031245
IL
Other
Enumeration date
04/25/2017
Last updated
04/06/2021
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