Grand Dental Care, Ltd

NPI #1366574923 in Waukegan, Illinois

Provider Information

NPI Number: 1366574923
Entity Type: Organization
Organization Name: Grand Dental Care, Ltd
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 9, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1800 GRAND AVE
City: Waukegan
State: Illinois
ZIP Code: 60085-3582
Phone: (847) 336-4180

Authorized Official

Name: DR. JAE MYUNG SHIM, DDS
Title: PRESIDENT
Phone: (847) 336-4180

Specialties & Taxonomy Codes

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

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