Most Relevant Information
Provider Data
| NPI Number: | 1003651159 |
| Provider Name: | INE SUH DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 019035221 |
Most Important Dates
| Enumeration Date: | 06/29/2024 |
| Last Updated: | 07/02/2024 |
Provider Practice Location
10020 GRAND AVE
FRANKLIN PARK
IL
601312547
Practice Location Phone/Fax
| Phone: | 8474558383 |
| Fax: |
Provider Mailing Location
6605 N ARTESIAN AVE
CHICAGO
IL
606455974
Provider Mailing Phone/Fax
| Phone: | 7739648035 |
| Fax: |