Organization
HALCYON DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH KIM DDS, JD (MANAGING MEMBER)
(331) 444-1185
Entity
Organization
Contact information
Practice address
769 N HEARTLAND DR STE C, SUGAR GROVE, IL 60554-9347
(331) 444-1185
(630) 466-7405
Mailing address
769 N HEARTLAND DR STE C, SUGAR GROVE, IL 60554-9347
(331) 444-1185
(630) 466-7405
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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