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1215149851
KHANH P NGUYEN
CHICAGO, IL
NPI
1215149851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019026820)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
-- KHANH P NGUYEN D.D.S.
4614 S KEDZIE AVE 2020 N. CALIFORNIA AVE UNIT 5
CHICAGO, IL 60632-2945
Phone number: 773-772-8001
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Mailing Address
-- KHANH P NGUYEN D.D.S.
212 E CULLERTON ST APT 712
CHICAGO, IL 60616-1293
Phone number:
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