Organization
NISSI DENTAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THU NGUYEN DDS (PRESIDENT)
(773) 837-6176
Entity
Organization
Contact information
Practice address
5918 W HIGGINS AVE, CHICAGO, IL 60630-1905
(773) 837-6176
Mailing address
5324 N ELSTON AVE, CHICAGO, IL 60630-1611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026962
IL
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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