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1083764435
EDMUND P KAWA
PARK RIDGE, IL
NPI
1083764435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019-016358)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
Mr. EDMUND P KAWA DDS
100 S PROSPECT AVE
PARK RIDGE, IL 60068-4057
Phone number: 847-823-3636
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Mailing Address
Mr. EDMUND P KAWA DDS
225 CORNELL AVE
DES PLAINES, IL 60016-2130
Phone number: 847-296-6971
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