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4260 Westbrook Dr Ste 105 Aurora IL 60504-8136 | |
| (815) 434-6411 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4260 Westbrook Dr Ste 105, Aurora, Illinois |
| Authorized Official Name and Position | Min Soo Kim (OWNER) |
| Authorized Official Contact | 6308510450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4260 Westbrook Dr Ste 105 Aurora IL 60504-8136 Ph: () - | 4260 Westbrook Dr Ste 105 Aurora IL 60504-8136 Ph: (815) 434-6411 |
| NPI Number | 1639988181 |
|---|---|
| Provider Enumeration Date | 12/30/2024 |
| Last Update Date | 12/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639988181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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