Organization
NORTHWEST DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON CHENG DDS (OWNER)
(847) 593-0510
Entity
Organization
Contact information
Practice address
1751 W GOLF RD, MOUNT PROSPECT, IL 60056-4025
(847) 593-0510
Mailing address
1751 W GOLF RD, MOUNT PROSPECT, IL 60056-4025
(847) 593-0510
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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