Organization
BIC NGUYEN D.D.S. P.C.
Active
Other names
Peterson Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NGOC-BICH NGUYEN (PRESIDENT)
(773) 743-4050
Entity
Organization
Contact information
Practice address
2516 W PETERSON AVE, CHICAGO, IL 60659-4109
(773) 743-4050
Mailing address
2516 W PETERSON AVE, CHICAGO, IL 60659-4109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
319016613
IL
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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