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Organization

ASHLEY FAMILY DENTAL, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOO HAN KWON D.D.S. (PRESIDENT)
(847) 244-0414
Entity
Organization

Contact information

Practice address
2504 WASHINGTON ST, SUITE 503, WAUKEGAN, IL 60085
(847) 244-0414
(847) 244-3104
Mailing address
2504 WASHINGTON ST, SUITE 503, WAUKEGAN, IL 60085
(847) 244-0414
(847) 244-3104

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Enumeration date
05/09/2007
Last updated
08/22/2020
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