Edwin W Mangram II, D.D.S.

NPI #1003853425 in Chicago, Illinois

Provider Information

NPI Number
1003853425
Entity Type
Individual
Name
Edwin W Mangram II, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Jun 2, 2006
Last Updated
Nov 16, 2012

Practice Location

Address
3860 W OGDEN AVE
ZIP Code
60623-2460
Phone
(872) 588-3000

Specialties & Taxonomy Codes

Specialty
Dentist

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