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Organization
ERIE DENTAL HEALTH CENTER
Active
Organization
ERIE DENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE FRANCIS MD (MEDICAL DIRECTOR INTERIM CEO)
(312) 432-7394
Entity
Organization
Contact information
Practice address
4751 N KEDZIE AVE, CHICAGO, IL 60625
(773) 279-2947
Mailing address
1701 W SUPERIOR ST, CHICAGO, IL 60622-5646
(312) 666-3494
(312) 666-0610
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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