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1124722681
SOPHIA ELIZABETH ALTENBURG
CHICAGO, IL
NPI
1124722681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019.034471)
Enumeration Date
2023-03-29
Last Update Date
2023-06-30
Business Address
SOPHIA ELIZABETH ALTENBURG DDS
811 W WELLINGTON AVE
CHICAGO, IL 60657-5123
Phone number: 773-871-1461
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Mailing Address
SOPHIA ELIZABETH ALTENBURG DDS
811 W WELLINGTON AVE
CHICAGO, IL 60657-5123
Phone number: 773-871-1461
Copy
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