| Gary Dong DDS | |
|
3550 W Peterson Ave Chicago IL 60659-3270 | |
| (773) 279-0304 | |
| Not Available |
| Full Name | Gary Dong DDS |
|---|---|
| Speciality | Dentist |
| Location | 3550 W Peterson Ave, Chicago, Illinois |
| Authorized Official Name and Position | Gary Dong (DENTIST) |
| Authorized Official Contact | 7732790304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Dong DDS 3550 W Peterson Ave Chicago IL 60659-3270 Ph: (773) 279-0304 | Gary Dong DDS 3550 W Peterson Ave Chicago IL 60659-3270 Ph: (773) 279-0304 |
| NPI Number | 1568902872 |
|---|---|
| Provider Enumeration Date | 03/06/2017 |
| Last Update Date | 03/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568902872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019020899 (Illinois) | Primary |
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