| Mw Dental Llc | |
|
312 Madison St Oak Park IL 60302-4833 | |
| (708) 383-2992 | |
| (708) 383-4540 |
| Full Name | Mw Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 312 Madison St, Oak Park, Illinois |
| Authorized Official Name and Position | Zainab Wilson (DENTIST) |
| Authorized Official Contact | 7083832992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mw Dental Llc 312 Madison St Oak Park IL 60302 Ph: (708) 383-2992 | Mw Dental Llc 312 Madison St Oak Park IL 60302-4833 Ph: (708) 383-2992 |
| NPI Number | 1114448255 |
|---|---|
| Provider Enumeration Date | 06/28/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114448255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019029944 (Illinois) | Primary |
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