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1184794992
DOUGLAS W HEAD
GLEN ELLYN, IL
NPI
1184794992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
DR. DOUGLAS W HEAD D.M.D., M.S.
420 PENNSYLVANIA AVE
GLEN ELLYN, IL 60137-4437
Phone number: 630-858-2060
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Mailing Address
DR. DOUGLAS W HEAD D.M.D., M.S.
420 PENNSYLVANIA AVE
GLEN ELLYN, IL 60137-4437
Phone number: 630-858-2060
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