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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