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1205973690
LOUIS B. SCANNICCHIO
OAK PARK, IL
NPI
1205973690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0106X Dentist Oral and Maxillofacial Pathology
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
DR. LOUIS B. SCANNICCHIO DMD
110 N OAK PARK AVE
OAK PARK, IL 60301-1304
Phone number: 708-524-0101
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Mailing Address
DR. LOUIS B. SCANNICCHIO DMD
110 N OAK PARK AVE
OAK PARK, IL 60301-1304
Phone number: 708-524-0101
Copy
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