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1003124371
PORTAGE PARK DENTAL ASSOCIATES, LTD
CHICAGO, IL
NPI
1003124371
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Entity Type
Organization
Authorized Contact
ANETA CHOMA-DLOUCHY
President
773-286-4030
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019026570)
Enumeration Date
2010-09-20
Last Update Date
2010-09-20
Business Address
PORTAGE PARK DENTAL ASSOCIATES, LTD
5613 W IRVING PARK RD
CHICAGO, IL 60634-2740
Phone number: 773-286-4030
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Mailing Address
PORTAGE PARK DENTAL ASSOCIATES, LTD
5613 W IRVING PARK RD
CHICAGO, IL 60634-2740
Phone number: 773-286-4030
Copy
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