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1750912671
WICKER PARK DENTAL STUDIO
CHICAGO, IL
NPI
1750912671
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Entity Type
Organization
Authorized Contact
DARREN DWAIN SIMPSON
Owner
708-369-4076
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2020-01-29
Last Update Date
2020-03-17
Business Address
WICKER PARK DENTAL STUDIO
1282 N MILWAUKEE AVE
CHICAGO, IL 60622-9319
Phone number: 708-369-4076
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Mailing Address
WICKER PARK DENTAL STUDIO
1282 N MILWAUKEE AVE
CHICAGO, IL 60622-9319
Phone number: 708-369-4076
Copy
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