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Organization

MOLAR CITY, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN GARSON NG DDS (PRESIDENT)
(646) 387-8715
Entity
Organization

Contact information

Practice address
4620 N WESTERN AVE, CHICAGO, IL 60625
(708) 552-0275
Mailing address
2330 W SAINT PAUL AVE APT 602, CHICAGO, IL 60647-5617
(646) 387-8715

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
03/08/2019
Last updated
03/15/2019
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