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1073676946
ASSOCIATED DENTAL CENTER
CHICAGO, IL
NPI
1073676946
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Entity Type
Organization
Authorized Contact
CHARLES L OWENS
Dentist
773-874-0404
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019020907)
Enumeration Date
2006-12-19
Last Update Date
2013-10-29
Business Address
ASSOCIATED DENTAL CENTER
747 E 79TH STREET
CHICAGO, IL 60619
Phone number: 773-874-0404
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Mailing Address
ASSOCIATED DENTAL CENTER
PO BOX 19329 747 E 79TH STREET
CHICAGO, IL 60619
Phone number: 773-874-0404
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