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1205488400
BRIAN HAVEL
CHICAGO, IL
NPI
1205488400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019032234)
Enumeration Date
2019-07-09
Last Update Date
2019-07-09
Business Address
BRIAN HAVEL DMD
2829 N LINCOLN AVE
CHICAGO, IL 60657-6932
Phone number: 773-528-8900
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Mailing Address
BRIAN HAVEL DMD
2829 N LINCOLN AVE
CHICAGO, IL 60657-6932
Phone number: 773-528-8900
Copy
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