Organization
GARY DONG DDS
Active
Parent organization
GARY DONG DDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARY DONG DDS
Authorized official
DR. GARY DONG DDS (DENTIST)
(773) 279-0304
Entity
Organization
Contact information
Practice address
3550 W PETERSON AVE, CHICAGO, IL 60659-3270
(773) 279-0304
Mailing address
3550 W PETERSON AVE, CHICAGO, IL 60659-3270
(773) 279-0304
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020899
IL
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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