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1184795619
JOHN BLAIR MATTES
CHICAGO, IL
NPI
1184795619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019-016842)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
Dr. JOHN BLAIR MATTES DDS
1701 W MONTEREY AVE
CHICAGO, IL 60643-4257
Phone number: 773-445-9880
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Mailing Address
Dr. JOHN BLAIR MATTES DDS
13045 S 83RD CT
PALOS PARK, IL 60464-2144
Phone number: 708-361-3984
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