Organization
ASIAN VILLAGE DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINH NGUYEN DDS (PRESIDENT)
(773) 275-8083
Entity
Organization
Contact information
Practice address
5129 N BROADWAY ST, E, CHICAGO, IL 60640-3018
(773) 275-8083
(773) 275-9224
Mailing address
5129 N BROADWAY ST, E, CHICAGO, IL 60640-3018
(773) 275-8083
(773) 275-9224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019020165
IL
Other
Enumeration date
01/21/2008
Last updated
01/21/2008
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