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Organization
WEBSTER DENTAL CARE SAUGANASH, LTD
Active
Organization
WEBSTER DENTAL CARE SAUGANASH, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANISSA LAMPMAN (REGIONAL MANAGER)
(773) 685-9666
Entity
Organization
Contact information
Practice address
4801 W PETERSON AVE STE 316, CHICAGO, IL 60646-5726
(773) 685-9666
(773) 685-1967
Mailing address
4801 W PETERSON AVE STE 316, CHICAGO, IL 60646-5726
(773) 685-9666
(773) 685-1967
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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