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Organization
ACCUDENT ASSOCIATES LLC
Active
Organization
ACCUDENT ASSOCIATES LLC
Active
Other names
Family Dental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS EDWARD SHIMODA DDS (DENTIST)
(312) 226-0210
Entity
Organization
Contact information
Practice address
811 S. WESTERN AVE, CHICAGO, IL 60612
(312) 226-0210
(312) 226-0240
Mailing address
811 S. WESTERN AVE, CHICAGO, IL 60612
(312) 226-0210
(312) 226-0240
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019016473
IL
Other
Enumeration date
08/14/2008
Last updated
04/18/2019
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