Fortress Dental Corporation

NPI #1205169182 in Elgin, Illinois

Provider Information

NPI Number: 1205169182
Entity Type: Organization
Organization Name: Fortress Dental Corporation
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 10, 2009
Last Updated: Sep 10, 2009

Practice Location

Address: 1350 E. CHICAGO ST
Address 2: SUITE 4
City: Elgin
State: Illinois
ZIP Code: 60120
Phone: (847) 760-6100

Authorized Official

Name: DR. VU KONG, D.D.S
Title: PRESIDENT
Phone: (517) 414-9468

Specialties & Taxonomy Codes

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

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