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1033374129
KIRK BENNEWITZ
EVANSTON, IL
NPI
1033374129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019017116)
Enumeration Date
2008-07-28
Last Update Date
2008-07-28
Business Address
Dr. KIRK BENNEWITZ DDS
500 DAVIS ST #504
EVANSTON, IL 60201-4668
Phone number: 847-491-1011
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Mailing Address
Dr. KIRK BENNEWITZ DDS
500 DAVIS ST #504
EVANSTON, IL 60201-4668
Phone number: 847-491-1011
Copy
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