Ashley Family Dental, Ltd

NPI #1902010317 in Waukegan, Illinois

Provider Information

NPI Number: 1902010317
Entity Type: Organization
Organization Name: Ashley Family Dental, Ltd
Primary Specialty: Dentist - General Practice
Enumeration Date: May 9, 2007
Last Updated: Aug 22, 2020

Practice Location

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

Authorized Official

Name: DR. JOO HAN KWON, D.D.S.
Title: PRESIDENT
Phone: (847) 244-0414

Specialties & Taxonomy Codes

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

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