Northwest Implant Dental Spa

NPI #1922548270 in Wheeling, Illinois

Provider Information

NPI Number: 1922548270
Entity Type: Organization
Organization Name: Northwest Implant Dental Spa
Primary Specialty: Dentist
Enumeration Date: Mar 6, 2017
Last Updated: Mar 6, 2017

Practice Location

Address: 109 N MILWAUKEE AVE
City: Wheeling
State: Illinois
ZIP Code: 60090-3013
Phone: (847) 541-3434

Authorized Official

Name: DANIEL KIM
Title: OWNER
Phone: (847) 541-3434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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