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1407845936
TOM CHAN
CHICAGO, IL
NPI
1407845936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019024765)
Enumeration Date
2005-10-18
Last Update Date
2007-07-08
Business Address
Dr. TOM CHAN D.D.S
5607 S PULASKI RD
CHICAGO, IL 60629-4419
Phone number: 773-585-1980
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Mailing Address
Dr. TOM CHAN D.D.S
5607 S PULASKI RD
CHICAGO, IL 60629-4419
Phone number: 773-585-1980
Copy
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