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1215291901
BRADLEY S DEGROOT
OAKBROOK TERRACE, IL
NPI
1215291901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019090200)
Enumeration Date
2012-06-27
Last Update Date
2015-07-07
Business Address
-- BRADLEY S DEGROOT DDS
1S224 SUMMIT AVE #205
OAKBROOK TERRACE, IL 60181-3983
Phone number: 630-627-3930
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Mailing Address
-- BRADLEY S DEGROOT DDS
1S224 SUMMIT AVE #205
OAKBROOK TERRACE, IL 60181-3983
Phone number: 630-627-3930
Copy
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