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Organization
WEBSTER DENTAL CARE EDISON PARK, LTD
Active
Organization
WEBSTER DENTAL CARE EDISON PARK, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN P REMPAS (OWNER)
(847) 763-5890
Entity
Organization
Contact information
Practice address
7760 W DEVON AVE, CHICAGO, IL 60631-1500
(773) 775-2210
Mailing address
7760 W DEVON AVE, CHICAGO, IL 60631-1500
(773) 775-2210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019015631
IL
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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