Organization
JL DENTAL GROUP
Active
Other names
Q Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KWUNHO KELVIN JUNG DMD (DENTIST/PRESIDENT)
(217) 722-6415
Entity
Organization
Contact information
Practice address
3101 VILLAGE OFFICE PL, CHAMPAIGN, IL 61822-7673
(217) 352-4646
Mailing address
3101 VILLAGE OFFICE PL, CHAMPAIGN, IL 61822-7673
(217) 352-4646
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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