Organization
LINCOLNWAY DENTAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN MOON PARK D.M.D. (PRESIDENT)
(630) 897-1300
Entity
Organization
Contact information
Practice address
417 S LINCOLNWAY, SUITE A, NORTH AURORA, IL 60542-5109
(630) 897-1300
(630) 897-7172
Mailing address
417 S LINCOLNWAY, SUITE A, NORTH AURORA, IL 60542-5109
(630) 897-1300
(630) 897-7172
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019020375
IL
1223G0001X
General Practice Dentistry
019022694
IL
1223G0001X
General Practice Dentistry
019024704
IL
Other
Enumeration date
11/29/2006
Last updated
04/23/2008
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