Ashley Family Dental, Ltd.

NPI #1669645958 in Waukegan, Illinois

Provider Information

NPI Number: 1669645958
Entity Type: Organization
Organization Name: Ashley Family Dental, Ltd.
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 8, 2008
Last Updated: Apr 8, 2008

Practice Location

Address: 2504 WASHINGTON ST
Address 2: STE #503
City: Waukegan
State: Illinois
ZIP Code: 60085-4983
Phone: (847) 244-0414

Authorized Official

Name: DR. JOO H KWON, DDS
Title: OWNER
Phone: (847) 244-0414

Specialties & Taxonomy Codes

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

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