Organization
RAYMOND L WRIGHT III DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND LEROY WRIGHT III D.D.S. (PRESIDENT)
(773) 531-1562
Entity
Organization
Contact information
Practice address
365 N JEFFERSON ST, #1801, CHICAGO, IL 60661-1226
(773) 531-1562
Mailing address
365 N JEFFERSON, #1801, CHICAGO, IL 60661
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026720
IL
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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