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1235444639
INNOVATIVE DENTAL GROUP, LLC
CHICAGO, IL
NPI
1235444639
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Entity Type
Organization
Authorized Contact
DIMPLE TEJANI
Member
312-368-6400
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2010-08-10
Last Update Date
2010-08-10
Business Address
INNOVATIVE DENTAL GROUP, LLC
20 E WASHINGTON ST SUITE 1300
CHICAGO, IL 60602
Phone number: 312-368-6400
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Mailing Address
INNOVATIVE DENTAL GROUP, LLC
20 E WASHINGTON ST SUITE 1300
CHICAGO, IL 60602
Phone number: 312-368-6400
Copy
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