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1215142344
MICHAEL ROYAL MINTZ
CHICAGO, IL
NPI
1215142344
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Professional Name
MICHAEL ROYAL MINTZ
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019014116)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL ROYAL MINTZ
990 W FULLERTON AVE SUITE 450
CHICAGO, IL 60614-2458
Phone number: 773-935-1855
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Mailing Address
Dr. MICHAEL ROYAL MINTZ
990 W FULLERTON AVE SUITE 450
CHICAGO, IL 60614-2458
Phone number: 773-935-1855
Copy
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