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1144555657
CHARLES DICKSON
CHICAGO, IL
NPI
1144555657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 03190169751)
Enumeration Date
2009-10-16
Last Update Date
2009-10-16
Business Address
Dr. CHARLES DICKSON D.D.S.
9761 S COTTAGE GROVE AVE
CHICAGO, IL 60628-1510
Phone number: 773-721-7799
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Mailing Address
Dr. CHARLES DICKSON D.D.S.
9761 SOUTH COTTAGE GROVE AVE.
CHICAGO, IL 60628-1510
Phone number: 773-721-7799
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