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1336288695
SOUTHLAND SMILES, LTD
FLOSSMOOR, IL
NPI
1336288695
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Entity Type
Organization
Authorized Contact
RICHARD J MANTOAN
Owner
708-799-7800
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019-015308)
Enumeration Date
2007-02-05
Last Update Date
2020-08-22
Business Address
SOUTHLAND SMILES, LTD
19815 GOVERNORS HWY SUITE 7
FLOSSMOOR, IL 60422-4385
Phone number: 708-799-7800
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Mailing Address
SOUTHLAND SMILES, LTD
19815 GOVERNORS HWY SUITE 7
FLOSSMOOR, IL 60422-4385
Phone number: 708-799-7800
Copy
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