EDP OF WISCONSIN, SC

CHICAGO, IL
NPI1962961672
Doing Business AsPARKSIDE WEST DENTAL
Doing Business AsELITE DENTAL PARTNERS
Entity TypeOrganization
Authorized ContactROSEANNE BRUNENKANT
Director Of Integrations
312-937-3619
Organization Subpart ?Yes
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2019-03-13
Last Update Date2019-09-16
Business Address
EDP OF WISCONSIN, SC
141 W JACKSON BLVD
CHICAGO, IL 60604-2992
Phone number: 312-937-3619
Mailing Address
EDP OF WISCONSIN, SC
141 W JACKSON BLVD STE 210
CHICAGO, IL 60604-3048
Phone number: 312-937-3619