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Organization
SCOTT OVERHOLSER, DDS P.C.
Active
Organization
SCOTT OVERHOLSER, DDS P.C.
Active
Other names
Lakeview Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT WILLIAM OVERHOLSER DDS (OWNER/DOCTOR)
(773) 270-5000
Entity
Organization
Contact information
Practice address
3115 N BROADWAY, CHICAGO, IL 60657
(773) 270-5000
(872) 206-5337
Mailing address
3115 N BROADWAY, CHICAGO, IL 60657
(773) 270-5000
(872) 206-5337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026260
IL
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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