Organization
ICON DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA CORINNA LIM DMD (MEMBER)
(808) 308-1968
Entity
Organization
Contact information
Practice address
282 MCHENRY RD, WHEELING, IL 60090-3202
(224) 532-5380
Mailing address
250 W DUNDEE RD #641, WHEELING, IL 60090
(808) 308-1968
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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