Organization
MK DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL G KYIN (DIRECTOR)
(773) 478-4287
Entity
Organization
Contact information
Practice address
6218 N LINCOLN AVE, CHICAGO, IL 60659-2206
(773) 478-4287
Mailing address
6218 N LINCOLN AVE, CHICAGO, IL 60659-2206
(773) 478-4287
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019019709
IL
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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