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1235787730
ALTA DENTAL LLC
CHICAGO, IL
NPI
1235787730
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Entity Type
Organization
Authorized Contact
CHRIS WORTH
Owner
218-329-2753
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
ALTA DENTAL LLC
5892 S ARCHER AVE
CHICAGO, IL 60638-1658
Phone number: 218-329-2753
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Mailing Address
ALTA DENTAL LLC
565 W QUINCY ST UNIT 1506
CHICAGO, IL 60661-2911
Phone number: 218-329-2753
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