| Mi Dental Pc | |
|
1006 S Elmhurst Rd Mt Prospect IL 60056-4240 | |
| (646) 761-5224 | |
| Not Available |
| Full Name | Mi Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 1006 S Elmhurst Rd, Mt Prospect, Illinois |
| Authorized Official Name and Position | Hyun Min Kim (DENTIST) |
| Authorized Official Contact | 6467615224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mi Dental Pc 39 Orrington Ct Schaumburg IL 60173-2116 Ph: (646) 761-5224 | Mi Dental Pc 1006 S Elmhurst Rd Mt Prospect IL 60056-4240 Ph: (646) 761-5224 |
| NPI Number | 1689170318 |
|---|---|
| Provider Enumeration Date | 04/02/2018 |
| Last Update Date | 04/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689170318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019028417 (Illinois) | Primary |
| 261QD0000X | Clinic/center - Dental | 019028417 (Illinois) | Secondary |
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