| Crossroads Of American Dental | |
|
1721 Sibley Blvd Calumet City IL 60409-2240 | |
| (708) 868-1771 | |
| Not Available |
| Full Name | Crossroads Of American Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1721 Sibley Blvd, Calumet City, Illinois |
| Authorized Official Name and Position | Inchun Yang (OWNER) |
| Authorized Official Contact | 7088681771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Of American Dental 1721 Sibley Blvd Calumet City IL 60409-2240 Ph: (708) 868-1771 | Crossroads Of American Dental 1721 Sibley Blvd Calumet City IL 60409-2240 Ph: (708) 868-1771 |
| NPI Number | 1932472743 |
|---|---|
| Provider Enumeration Date | 02/10/2012 |
| Last Update Date | 02/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932472743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19025360 (Illinois) | Primary |
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