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1285186411
EDISON PARK SMILES,LTD
CHICAGO, IL
NPI
1285186411
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Entity Type
Organization
Authorized Contact
DARREN DWAIN SIMPSON
Owner
708-369-4076
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019025308)
Enumeration Date
2016-11-04
Last Update Date
2016-11-04
Business Address
EDISON PARK SMILES,LTD
6426 N NORTHWEST HWY
CHICAGO, IL 60631-1450
Phone number: 773-631-5200
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Mailing Address
EDISON PARK SMILES,LTD
6426 N NORTHWEST HWY
CHICAGO, IL 60631-1450
Phone number: 773-631-5200
Copy
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