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General Practice Dentistry
NPI: 1972918308Individual
Specialties, Licenses & Credentials
General Practice DentistryPrimary
Dentist — General Practice
Code: 1223G0001X
019030435(IL)19030435(IL)
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Contact & Hours
- Address
- 9920 N ROUTE 47
HUNTLEY, IL 60142 - Phone
- (646) 703-3924
Quick Facts
- NPI
- 1972918308
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 2
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