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1255985669
PREMIER DENTAL CARE ILLINOIS INC
EVANSTON, IL
NPI
1255985669
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Entity Type
Organization
Authorized Contact
HIDAYATHULLA KHAN
Owner
224-443-4988
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2019-07-25
Last Update Date
2019-07-25
Business Address
PREMIER DENTAL CARE ILLINOIS INC
1819 CHURCH ST
EVANSTON, IL 60201-3415
Phone number: 847-866-7430
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Mailing Address
PREMIER DENTAL CARE ILLINOIS INC
1819 CHURCH ST
EVANSTON, IL 60201-3415
Phone number: 847-866-7430
Copy
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