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1215374277
ALEXANDRA BACON SMITH
SPRINGFIELD, IL
NPI
1215374277
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019029389)
Enumeration Date
2013-05-31
Last Update Date
2013-05-31
Business Address
-- ALEXANDRA BACON SMITH DMD
2965 S MACARTHUR BLVD STE A
SPRINGFIELD, IL 62704-5087
Phone number: 217-698-1717
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Mailing Address
-- ALEXANDRA BACON SMITH DMD
2965 S MACARTHUR BLVD STE A
SPRINGFIELD, IL 62704-5087
Phone number: 217-698-1717
Copy
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