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Organization
THE WRIGLEYVILLE DENTAL GROUP
Active
Organization
THE WRIGLEYVILLE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A BENEDETTO (D.D.S./)
(773) 975-6666
Entity
Organization
Contact information
Practice address
1353 W CORNELIA AVE, CHICAGO, IL 60657-1401
(773) 975-6666
(773) 975-4051
Mailing address
1353 W CORNELIA AVE, CHICAGO, IL 60657-1401
(773) 975-6666
(773) 975-4051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019019128
IL
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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