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1073997722
WEST LOOP FAMILY DENTAL LLC
CHICAGO, IL
NPI
1073997722
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Entity Type
Organization
Authorized Contact
ANKITA SHAH
Manager
818-324-3315
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019027537)
Enumeration Date
2015-07-13
Last Update Date
2015-10-19
Business Address
WEST LOOP FAMILY DENTAL LLC
1202 W MADISON ST
CHICAGO, IL 60607-1908
Phone number: 312-724-7161
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Mailing Address
WEST LOOP FAMILY DENTAL LLC
1202 W MADISON ST
CHICAGO, IL 60607-1908
Phone number: 312-724-7161
Copy
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