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1235869991
AUSTIN ALEXANDER POTRUE
LINCOLNWOOD, IL
NPI
1235869991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019.033722)
Enumeration Date
2022-06-15
Last Update Date
2022-06-15
Business Address
Dr. AUSTIN ALEXANDER POTRUE DMD
4368 W TOUHY AVE
LINCOLNWOOD, IL 60712-1927
Phone number: 847-610-9272
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Mailing Address
Dr. AUSTIN ALEXANDER POTRUE DMD
406 CLARET DR
BUFFALO GROVE, IL 60089-1785
Phone number:
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