| NPI | 1689079675 |
|---|---|
| Doing Business As | EDGEWATER DENTAL GROUP P.C. |
| Entity Type | Organization |
| Authorized Contact | SZILARD HERMANN Owner 773-968-2790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019027878) |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2014-11-03 |