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Individual

ANDREW HONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4224 W LAWRENCE AVE, CHICAGO, IL 60630-2729
(419) 241-1644
Mailing address
4224 W LAWRENCE AVE, CHICAGO, IL 60630-2729

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019031223
IL

Other

Enumeration date
03/14/2016
Last updated
02/08/2018
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