Ashbury Dental Clinic INC

NPI #1053568824 in Naperville, Illinois

Provider Information

NPI Number: 1053568824
Entity Type: Organization
Organization Name: Ashbury Dental Clinic INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 25, 2008
Last Updated: Jan 15, 2009

Practice Location

Address: 2272 W 95TH ST
Address 2: SUITE 315
City: Naperville
State: Illinois
ZIP Code: 60564-8912
Phone: (630) 717-0111

Authorized Official

Name: DR. YONG TAEK SHIM, D.D.S.
Title: PRESIDENT
Phone: (630) 717-0111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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