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1265285167
FULLERTON DENTAL ISLAND LLC
CHICAGO, IL
NPI
1265285167
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Entity Type
Organization
Authorized Contact
WISAM MUSA
Owner
312-709-1722
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2024-04-09
Last Update Date
2024-04-09
Business Address
FULLERTON DENTAL ISLAND LLC
5205 W FULLERTON AVE
CHICAGO, IL 60639-1401
Phone number: 312-709-1722
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Mailing Address
FULLERTON DENTAL ISLAND LLC
5836 W 100TH PL
OAK LAWN, IL 60453-3774
Phone number: 312-709-1722
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