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General Practice Dentistry

NPI: 1972918308Individual

Specialties, Licenses & Credentials

General Practice DentistryPrimary

Dentist — General Practice

Code: 1223G0001X

019030435(IL)19030435(IL)

Contact & Hours

Via practice · 2 locations total

Address
9920 N ROUTE 47
HUNTLEY, IL 60142

Quick Facts

NPI
1972918308
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
2

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