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Organization
THOMAS W. PISSIOS DDS, LTD
Active
Organization
THOMAS W. PISSIOS DDS, LTD
Active
Other names
Edison Park Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS W. PISSIOS DDS (PRESIDENT)
(773) 792-3200
Entity
Organization
Contact information
Practice address
6780 N NORTHWEST HWY, CHICAGO, IL 60631-1242
(773) 792-3200
(773) 792-3233
Mailing address
6780 N NORTHWEST HWY, CHICAGO, IL 60631-1242
(773) 792-3200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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