Easy Dental Care Llc | |
712 Front Street Mchenry IL 60050-5530 | |
(815) 363-1577 | |
(815) 363-1677 |
Full Name | Easy Dental Care Llc |
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Speciality | Dentist |
Location | 712 Front Street, Mchenry, Illinois |
Authorized Official Name and Position | Yong S Chang (DENTIST / OWNER) |
Authorized Official Contact | 8153631577 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Easy Dental Care Llc 712 Front Street Mchenry IL 60050-5530 Ph: (815) 363-1577 | Easy Dental Care Llc 712 Front Street Mchenry IL 60050-5530 Ph: (815) 363-1577 |
NPI Number | 1245481977 |
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Provider Enumeration Date | 09/30/2008 |
Last Update Date | 09/30/2008 |
Identifier | Type | State | Issuer |
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1245481977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | IL 019-023530 (Illinois) | Primary |
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