| Jl Dental Group Llc | |
|
919 W Kirby Ave Champaign IL 61821-5121 | |
| (217) 359-2500 | |
| Not Available |
| Full Name | Jl Dental Group Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 919 W Kirby Ave, Champaign, Illinois |
| Authorized Official Name and Position | Kwunho Jung (OWNER) |
| Authorized Official Contact | 2177226415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jl Dental Group Llc 919 W Kirby Ave Champaign IL 61821-5121 Ph: (217) 359-2500 | Jl Dental Group Llc 919 W Kirby Ave Champaign IL 61821-5121 Ph: (217) 359-2500 |
| NPI Number | 1477285385 |
|---|---|
| Provider Enumeration Date | 06/29/2022 |
| Last Update Date | 06/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477285385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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