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1184828352
PHILIP DOMINIQUE DEBOSSU
CHICAGO, IL
NPI
1184828352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019021293)
Enumeration Date
2007-06-12
Last Update Date
2007-07-08
Business Address
Dr. PHILIP DOMINIQUE DEBOSSU D.D.S.
3069 W ARMITAGE AVE STORE B
CHICAGO, IL 60647-5936
Phone number: 773-342-2628
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Mailing Address
Dr. PHILIP DOMINIQUE DEBOSSU D.D.S.
3069 W ARMITAGE AVE STORE B
CHICAGO, IL 60647-5936
Phone number: 773-342-2628
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