Webster Dental Care Edison Park, Ltd

NPI #1083079339 in Chicago, Illinois

Provider Information

NPI Number: 1083079339
Entity Type: Organization
Organization Name: Webster Dental Care Edison Park, Ltd
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 30, 2015
Last Updated: Dec 30, 2015

Practice Location

Address: 7760 W DEVON AVE
City: Chicago
State: Illinois
ZIP Code: 60631-1500
Phone: (773) 775-2210

Authorized Official

Name: STEVEN P REMPAS
Title: OWNER
Phone: (847) 763-5890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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