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1063820694
LAKESIDE DENTAL CENTER
CHICAGO, IL
NPI
1063820694
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Entity Type
Organization
Authorized Contact
HUSSAIN ALI
Owner
224-366-0498
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019029848)
Enumeration Date
2014-07-28
Last Update Date
2014-07-28
Business Address
LAKESIDE DENTAL CENTER
4945 W GRAND AVE
CHICAGO, IL 60639-4412
Phone number: 224-366-0498
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Mailing Address
LAKESIDE DENTAL CENTER
2218 S MICHIGAN AVE 2
CHICAGO, IL 60616-2126
Phone number: 312-842-7133
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