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1184160194
MARISSA DZIEPAK
FRANKFORT, IL
NPI
1184160194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: IL 021002906)
Enumeration Date
2017-01-13
Last Update Date
2019-01-03
Business Address
Dr. MARISSA DZIEPAK DMD
39 E COLORADO AVE
FRANKFORT, IL 60423-1385
Phone number: 708-789-9289
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Mailing Address
Dr. MARISSA DZIEPAK DMD
242 SHAWNEE CT
BARTLETT, IL 60103-2025
Phone number: 630-479-9230
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