EDWIN W MANGRAM

CHICAGO, IL
NPI1003853425
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019-025445)
Enumeration Date2006-06-02
Last Update Date2012-11-16
Business Address
-- EDWIN W MANGRAM D.D.S.
3860 W OGDEN AVE
CHICAGO, IL 60623-2460
Phone number: 872-588-3000
Mailing Address
-- EDWIN W MANGRAM D.D.S.
3860 W OGDEN AVE
CHICAGO, IL 60623-2460
Phone number: 872-588-3000
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