Organization
MW DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAINAB WILSON DDS (DENTIST)
(708) 383-2992
Entity
Organization
Contact information
Practice address
312 MADISON ST, OAK PARK, IL 60302-4833
(708) 383-2992
(708) 383-4540
Mailing address
312 MADISON ST, OAK PARK, IL 60302
(708) 383-2992
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019029944
IL
Other
Enumeration date
06/28/2017
Last updated
07/21/2022
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