Individual
MIA MYOUNGAH SEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
876 CIVIC CENTER DR, NILES, IL 60714-3207
(847) 583-1900
(847) 583-2920
Mailing address
876 CIVIC CENTER DR, NILES, IL 60714-3207
(847) 583-1900
(847) 583-2920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019029912
IL
Other
Enumeration date
09/05/2008
Last updated
08/26/2016
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