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1215003678
MELROSE DENTAL CENTER SERVICE P.C
MELROSE PARK, IL
NPI
1215003678
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Entity Type
Organization
Authorized Contact
CARLOS J ALBERTTIS
Administrator
708-345-6636
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019021046)
Enumeration Date
2006-11-28
Last Update Date
2008-06-26
Business Address
MELROSE DENTAL CENTER SERVICE P.C
1908 W LAKE ST
MELROSE PARK, IL 60160-3728
Phone number: 708-345-6636
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Mailing Address
MELROSE DENTAL CENTER SERVICE P.C
1908 W LAKE ST
MELROSE PARK, IL 60160-3728
Phone number: 708-345-6636
Copy
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