Individual
DR. KEVIN MINCHUL OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5315 W CERMAK RD, CICERO, IL 60804-2817
(213) 487-7771
Mailing address
5315W CERMAK RD, CICERO, IL 60804-2817
(708) 222-8505
(708) 222-9505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60891
CA
Other
Enumeration date
12/01/2012
Last updated
04/06/2018
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