Organization
LESLIE M SANDERS DDS PC
Active
Other names
Wicker Park Dental Studio, LTD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE SANDERS DDS (OWNER/DENTIST)
(630) 346-9383
Entity
Organization
Contact information
Practice address
1282 N MILWAUKEE AVE, CHICAGO, IL 60622-9319
(312) 392-0885
Mailing address
3604 N CAMPBELL AVE UNIT 204, CHICAGO, IL 60618-4726
(630) 346-9383
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/24/2023
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