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1164406138
INDEPENDENCE FAMILY DENTAL
CHICAGO, IL
NPI
1164406138
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Entity Type
Organization
Authorized Contact
EMAD E AZAB
Dentist
773-205-9900
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019023605)
Enumeration Date
2005-12-02
Last Update Date
2020-08-22
Business Address
INDEPENDENCE FAMILY DENTAL
4703 W LAWRENCE AVE
CHICAGO, IL 60630-1722
Phone number: 773-205-9900
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Mailing Address
INDEPENDENCE FAMILY DENTAL
4703 W LAWRENCE AVE
CHICAGO, IL 60630-1722
Phone number: 773-205-9900
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