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Individual

DR. GEORGE MUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
221 W PROSPECT AVE, MOUNT PROSPECT, IL 60056-3136
(847) 253-5901
(847) 253-5914
Mailing address
221 W PROSPECT AVE, MOUNT PROSPECT, IL 60056-3136
(847) 253-5901
(847) 253-5914

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL-019016520
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
364411832
TAX IDENTIFICATION NUMBER
IL
Enumeration date
05/02/2007
Last updated
10/10/2008
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