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Dental Care Facilities

Glenview, Illinois

Provider NPI: 1558545830

Organization Information:
Organization is not Subpart
Authorized Official:  SEO KU LEE  PRESIDENT  847-7292875

Practice Location:
Tel: 847-729-2875  Fax: 847-724-0157

Business Mailing Address:
Tel: 847-729-2875  Fax: 847-724-0157

Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y261QD0000XAmbulatory Health Care Facilities


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