Westlake Dental Center

NPI #1134376189 in Ingleside, Illinois

Provider Information

NPI Number: 1134376189
Entity Type: Organization
Organization Name: Westlake Dental Center
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 21, 2008
Last Updated: Aug 21, 2008

Practice Location

Address: 214 WASHINGTON ST
City: Ingleside
State: Illinois
ZIP Code: 60041-9208
Phone: (847) 587-3020

Authorized Official

Name: DR. MIN J KWON, D.D.S.
Title: OWNER
Phone: (847) 587-3020

Specialties & Taxonomy Codes

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

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