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1225257397
CROSSROADS DENTAL CARE LLC
TINLEY PARK, IL
NPI
1225257397
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Entity Type
Organization
Authorized Contact
JENNIFER P KOCH
Owner
708-444-2273
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2007-04-25
Last Update Date
2007-07-18
Business Address
CROSSROADS DENTAL CARE LLC
9532 179TH ST
TINLEY PARK, IL 60477-9602
Phone number: 708-444-2273
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Mailing Address
CROSSROADS DENTAL CARE LLC
9532 179TH ST
TINLEY PARK, IL 60477-9602
Phone number: 708-444-2273
Copy
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