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1659912632
CODY WONG
PARK RIDGE, IL
NPI
1659912632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019.032264)
Enumeration Date
2019-10-01
Last Update Date
2019-10-01
Business Address
CODY WONG DMD
1600 DEMPSTER ST STE 101
PARK RIDGE, IL 60068-1171
Phone number: 847-298-4436
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Mailing Address
CODY WONG DMD
2155 FARRELL AVE
PARK RIDGE, IL 60068-1164
Phone number: 224-436-9640
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