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1043524911
SAMY HUSSAN
CHICAGO, IL
NPI
1043524911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019028437)
Additional Taxonomies
122300000X Dentist
(Licence: CA 59305)
Enumeration Date
2010-08-03
Last Update Date
2010-08-03
Business Address
Dr. SAMY HUSSAN DDS
6560 W FULLERTON AVE # O
CHICAGO, IL 60707
Phone number: 773-385-6700
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Mailing Address
Dr. SAMY HUSSAN DDS
430 W. ERIE ST SUITE 200
CHICAGO, IL 60610
Phone number: 312-274-0308
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