WICKER PARK DENTAL STUDIO

CHICAGO, IL
NPI1750912671
Entity TypeOrganization
Authorized ContactDARREN DWAIN SIMPSON
Owner
708-369-4076
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2020-01-29
Last Update Date2020-03-17
Business Address
WICKER PARK DENTAL STUDIO
1282 N MILWAUKEE AVE
CHICAGO, IL 60622-9319
Phone number: 708-369-4076
Mailing Address
WICKER PARK DENTAL STUDIO
1282 N MILWAUKEE AVE
CHICAGO, IL 60622-9319
Phone number: 708-369-4076