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Organization
WEBSTER DENTAL CARE OF LAKEVIEW, LTD
Active
Organization
WEBSTER DENTAL CARE OF LAKEVIEW, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN P REMPAS D.D.S. (PRESIDENT)
(773) 528-8900
Entity
Organization
Contact information
Practice address
2829 N LINCOLN AVE, CHICAGO, IL 60657-6932
(773) 528-8900
(773) 528-0831
Mailing address
6548 N NOKOMIS AVE, LINCOLNWOOD, IL 60712-3026
(847) 763-5890
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
021001607
IL
1223G0001X
General Practice Dentistry
Primary
019015631
IL
Other
Enumeration date
05/23/2007
Last updated
04/07/2016
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