105 W MADISON DENTAL PC

CHICAGO, IL
NPI1730674227
Entity TypeOrganization
Authorized ContactTIMOTHY SKIDMORE
Practice Administrator
630-816-9064
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2018-06-27
Last Update Date2018-06-27
Business Address
105 W MADISON DENTAL PC
105 W MADISON ST STE 300
CHICAGO, IL 60602-4602
Phone number: 561-899-4595
Mailing Address
105 W MADISON DENTAL PC
600 FAIRWAY DR STE 206
DEERFIELD BEACH, FL 33441-1807
Phone number: 561-899-4595
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