Westlake Dental Center | |
214 Washington St Ingleside IL 60041-9208 | |
(847) 587-3020 | |
(847) 587-1598 |
Full Name | Westlake Dental Center |
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Speciality | Dentist - General Practice |
Location | 214 Washington St, Ingleside, Illinois |
Authorized Official Name and Position | Min J Kwon (OWNER) |
Authorized Official Contact | 8475873020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Westlake Dental Center 214 Washington St Ingleside IL 60041-9208 Ph: (847) 587-3020 | Westlake Dental Center 214 Washington St Ingleside IL 60041-9208 Ph: (847) 587-3020 |
NPI Number | 1134376189 |
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Provider Enumeration Date | 08/21/2008 |
Last Update Date | 08/21/2008 |
Identifier | Type | State | Issuer |
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1134376189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019026900 (Illinois) | Secondary |
1223G0001X | Dentist - General Practice | 019025326 (Illinois) | Primary |