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1225108210
RICHARD C PRENDERGAST
EVANSTON, IL
NPI
1225108210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: IL 021000596)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
Dr. RICHARD C PRENDERGAST D.D.S. , M.S.
636 CHURCH ST SUITE 707
EVANSTON, IL 60201-4508
Phone number: 847-491-1880
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Mailing Address
Dr. RICHARD C PRENDERGAST D.D.S. , M.S.
636 CHURCH ST SUITE 707
EVANSTON, IL 60201-4508
Phone number: 847-491-1880
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