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1003116617
DALE BENJAMIN
CHICAGO, IL
NPI
1003116617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019028101)
Enumeration Date
2010-10-28
Last Update Date
2010-10-28
Business Address
Dr. DALE BENJAMIN DMD
6020 W DIVERSEY AVE
CHICAGO, IL 60639-1108
Phone number: 773-237-0707
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Mailing Address
Dr. DALE BENJAMIN DMD
2000 W HURON ST # 2
CHICAGO, IL 60612-1304
Phone number: 352-284-4164
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