LAKEVIEW SMILES EDGEWATER LTD

CHICAGO, IL
NPI1700532470
Entity TypeOrganization
Authorized ContactGRACE LEE
President
773-929-1150
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2022-02-22
Last Update Date2022-02-22
Business Address
LAKEVIEW SMILES EDGEWATER LTD
6351 N BROADWAY ST UNIT A
CHICAGO, IL 60660-1401
Phone number: 312-584-0510
Mailing Address
LAKEVIEW SMILES EDGEWATER LTD
6351 N BROADWAY ST UNIT A
CHICAGO, IL 60660-1401
Phone number: 312-584-0510
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