Organization
PRECISION DENTAL CARE 2, LLC
Active
Other names
Precision Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY CHANG D.D.S. (MEMBER)
(773) 283-2100
Entity
Organization
Contact information
Practice address
4830 N PULASKI RD STE 108, CHICAGO, IL 60630-2847
(773) 283-2100
(773) 283-2500
Mailing address
4830 N PULASKI RD STE 108, CHICAGO, IL 60630-2847
(773) 283-2100
(773) 283-2500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026820
IL
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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