Organization
JL DENTAL GROUP LLC
Active
Parent organization
JL DENTAL GROUP LLC
Other names
Q Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
JL DENTAL GROUP LLC
Authorized official
DR. KWUNHO JUNG DDS (OWNER)
(217) 722-6415
Entity
Organization
Contact information
Practice address
919 W KIRBY AVE, CHAMPAIGN, IL 61821-5121
(217) 359-2500
Mailing address
919 W KIRBY AVE, CHAMPAIGN, IL 61821-5121
(217) 359-2500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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