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1235415548
DENTAL IMPRESSION, SC
CHICAGO, IL
NPI
1235415548
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Entity Type
Organization
Authorized Contact
SHAFEEQ H BADER
President
630-452-6950
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019025521)
Enumeration Date
2011-11-01
Last Update Date
2011-11-01
Business Address
DENTAL IMPRESSION, SC
5430 S KEDZIE AVE
CHICAGO, IL 60632-2620
Phone number: 773-925-0650
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Mailing Address
DENTAL IMPRESSION, SC
5430 S KEDZIE AVE
CHICAGO, IL 60632-2620
Phone number: 773-925-0650
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