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Organization

MI DENTAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HYUN MIN KIM DDS (DENTIST)
(646) 761-5224
Entity
Organization

Contact information

Practice address
1006 S ELMHURST RD, MT PROSPECT, IL 60056-4240
(646) 761-5224
Mailing address
39 ORRINGTON CT, SCHAUMBURG, IL 60173-2116
(646) 761-5224

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028417
IL
261QD0000X
Dental Clinic/Center
019028417
IL

Other

Enumeration date
04/02/2018
Last updated
04/04/2018
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