EDWARD J. MATSUMOTO

CHICAGO, IL
NPI1245246271
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019-022509)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
Dr. EDWARD J. MATSUMOTO DDS
5153 N CLARK ST SUITE 208
CHICAGO, IL 60640-6823
Phone number: 773-271-7176
Mailing Address
Dr. EDWARD J. MATSUMOTO DDS
5153 N CLARK ST SUITE 208
CHICAGO, IL 60640-6823
Phone number: 773-271-7176