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Organization
ANDREA N. SIDLE DDS PC
Active
Organization
ANDREA N. SIDLE DDS PC
Active
Other names
Crown Jewel Dental Loft
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA SIDLE DDS (DDS)
(816) 215-2904
Entity
Organization
Contact information
Practice address
840 W IRVING PARK RD STE 407, CHICAGO, IL 60613-3011
(773) 248-8581
Mailing address
840 W IRVING PARK RD STE 407, CHICAGO, IL 60613-3011
(773) 248-8581
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
08/09/2021
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