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1245246271
EDWARD J. MATSUMOTO
CHICAGO, IL
NPI
1245246271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019-022509)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
Dr. EDWARD J. MATSUMOTO DDS
5153 N CLARK ST SUITE 208
CHICAGO, IL 60640-6823
Phone number: 773-271-7176
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Mailing Address
Dr. EDWARD J. MATSUMOTO DDS
5153 N CLARK ST SUITE 208
CHICAGO, IL 60640-6823
Phone number: 773-271-7176
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