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1396958864
THAT CERTAIN SMILE
CHICAGO, IL
NPI
1396958864
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Entity Type
Organization
Authorized Contact
TINA MICHELL HARRIS
Owner
708-218-3296
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2007-05-08
Last Update Date
2013-12-26
Business Address
THAT CERTAIN SMILE
4511 S LAKE PARK AVE 1N
CHICAGO, IL 60653-1461
Phone number: 708-218-3296
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Mailing Address
THAT CERTAIN SMILE
4511 S LAKE PARK AVE 1N
CHICAGO, IL 60653-1461
Phone number: 708-218-3296
Copy
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