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1295200921
THE DENTAL MASTERS OF BELMONT, LLC
CHICAGO, IL
NPI
1295200921
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Entity Type
Organization
Authorized Contact
ERIC NICS BLOOM
Manager
847-791-3850
Organization Subpart ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2018-10-09
Last Update Date
2018-10-09
Business Address
THE DENTAL MASTERS OF BELMONT, LLC
5236 W. BELMONT AVE.
CHICAGO, IL 60641
Phone number: 773-725-7222
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Mailing Address
THE DENTAL MASTERS OF BELMONT, LLC
5236 W. BELMONT AVE.
CHICAGO, IL 60641
Phone number: 773-725-7222
Copy
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