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1194917013
PRESIDENTIAL DENTAL
CHICAGO, IL
NPI
1194917013
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Entity Type
Organization
Authorized Contact
PETER A MICHALAK
Dentist
312-902-3131
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2007-08-14
Last Update Date
2014-01-28
Business Address
PRESIDENTIAL DENTAL
564 W WASHINGTON BLVD
CHICAGO, IL 60661-2509
Phone number: 312-902-3131
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Mailing Address
PRESIDENTIAL DENTAL
564 W WASHINGTON BLVD
CHICAGO, IL 60661-2509
Phone number: 312-902-3131
Copy
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