Organization
BIG WAVE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIT CHAN DDS (PRESIDENT)
(219) 465-8627
Entity
Organization
Contact information
Practice address
3739 W 26TH ST, CHICAGO, IL 60623-3827
(773) 762-0626
Mailing address
3739 W 26TH ST, CHICAGO, IL 60623-3827
(773) 762-0626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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