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1134286057
SIRI CHANTHASALO
ELGIN, IL
NPI
1134286057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019-025831)
Enumeration Date
2007-01-02
Last Update Date
2008-10-09
Business Address
Dr. SIRI CHANTHASALO D.D.S.
3091 W. ROUTE 20 #103
ELGIN, IL 60124
Phone number: 847-841-1555
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Mailing Address
Dr. SIRI CHANTHASALO D.D.S.
452 WESTPORT DR
PINGREE GROVE, IL 60140-9172
Phone number: 847-217-7215
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