Individual
DR. EDWARD STEVEN GOLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8336 ARCHER AVE, WILLOW SPRINGS, IL 60480-1468
(708) 839-9636
Mailing address
8336 ARCHER AVE, WILLOW SPRINGS, IL 60480-1468
(708) 839-9636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.015546
IL
Other
Enumeration date
02/08/2009
Last updated
02/08/2009
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