MR. Jimmy Robert Dong, DDS

NPI #1043384456 in Evanston, Illinois

Provider Information

NPI Number: 1043384456
Entity Type: Individual
Name: MR. Jimmy Robert Dong, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 636 CHURCH ST
Address 2: #721
City: Evanston
State: Illinois
ZIP Code: 60201-4587
Phone: (847) 475-6606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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