Organization
NORTHWEST DENTAL ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL M. CHUNG D.D.S. (PRESIDENT)
(847) 382-1600
Entity
Organization
Contact information
Practice address
414 N HOUGH ST, BARRINGTON, IL 60010-3029
(847) 382-1600
Mailing address
414 N HOUGH ST, BARRINGTON, IL 60010-3029
(847) 382-1600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19A-15268
IL
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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