Organization
MIDWEST ENDODONTICS ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDI D EDWARDS (PRACTICE ADMINISTRATOR)
(630) 424-9404
Entity
Organization
Contact information
Practice address
17W662 BUTTERFIELD RD, SUITE 208, OAKBROOK TERRACE, IL 60181-4098
(630) 953-0030
Mailing address
17W662 BUTTERFIELD RD, SUITE 208, OAKBROOK TERRACE, IL 60181-4098
(630) 953-0030
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
019-026513
IL
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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