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1063570752
PRAIRIE VIEW DENTAL LLC
SYCAMORE, IL
NPI
1063570752
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Entity Type
Organization
Authorized Contact
TIFFANY K JOZWIAK
Dentist Owner
815-895-6100
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019024541)
Enumeration Date
2006-12-05
Last Update Date
2020-08-22
Business Address
PRAIRIE VIEW DENTAL LLC
115 W PEACE RD
SYCAMORE, IL 60178
Phone number: 815-895-6100
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Mailing Address
PRAIRIE VIEW DENTAL LLC
115 W PEACE RD
SYCAMORE, IL 60178
Phone number: 815-895-6100
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