Provider First Line Business Practice Location Address:
6325 W BELMONT AVE
Provider Second Line Business Practice Location Address:
WOSIEK DENTAL INC.
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60634-4025
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-237-8999
Provider Business Practice Location Address Fax Number:
773-237-9033
Provider Enumeration Date:
12/03/2008