Organization
ENAMEL DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CHOI (PRESIDENT)
(312) 586-6200
Entity
Organization
Contact information
Practice address
1061 W JACKSON BLVD, SUITE C, CHICAGO, IL 60607-3039
(312) 586-6200
Mailing address
1061 W JACKSON BLVD, SUITE C, CHICAGO, IL 60607-3039
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019028986
IL
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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