| Cornerstone Cosmetic Dentistry | |
|
1530 W Lake St Roselle IL 60172 | |
| (630) 529-0900 | |
| Not Available |
| Full Name | Cornerstone Cosmetic Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1530 W Lake St, Roselle, Illinois |
| Authorized Official Name and Position | Vu Se Kong (DOCTOR/OWNER) |
| Authorized Official Contact | 6305290900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Cosmetic Dentistry 1530 Lake St Roselle IL 60172-3330 Ph: () - | Cornerstone Cosmetic Dentistry 1530 W Lake St Roselle IL 60172 Ph: (630) 529-0900 |
| NPI Number | 1750790408 |
|---|---|
| Provider Enumeration Date | 08/07/2014 |
| Last Update Date | 08/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750790408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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