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1013120005
PA DENTAL INCORPORATED
WAUKEGAN, IL
NPI
1013120005
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Entity Type
Organization
Authorized Contact
AJITHA PARUCHURI
President
630-229-5469
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2007-05-07
Last Update Date
2020-08-22
Business Address
PA DENTAL INCORPORATED
2605A GRAND AVE
WAUKEGAN, IL 60085-2410
Phone number: 847-244-7779
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Mailing Address
PA DENTAL INCORPORATED
2605A GRAND AVE
WAUKEGAN, IL 60085-2410
Phone number: 847-244-7779
Copy
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