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1205124641
KHA MANH NGUYEN
CHICAGO, IL
NPI
1205124641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019.028743)
Enumeration Date
2011-07-19
Last Update Date
2011-07-19
Business Address
-- KHA MANH NGUYEN DMD
5644 W ROOSEVELT RD
CHICAGO, IL 60644-1576
Phone number: 773-473-8888
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Mailing Address
-- KHA MANH NGUYEN DMD
5644 W ROOSEVELT RD
CHICAGO, IL 60644-1576
Phone number: 773-473-8888
Copy
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