Organization
BRISTLE DENTAL STUDIO
Active
Parent organization
CONNIE J. WOO, DMD LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONNIE J. WOO, DMD LLC
Authorized official
CONNIE J WOO DMD (OWNER)
(224) 612-1383
Entity
Organization
Contact information
Practice address
1700 N WESTERN AVE UNIT A, CHICAGO, IL 60647-5324
(312) 620-7733
Mailing address
1700 N WESTERN AVE UNIT A, CHICAGO, IL 60647-5324
(312) 620-7733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
01/05/2024
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