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1417970120
ALLEN JACK MOSES
CHICAGO, IL
NPI
1417970120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019013411)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
Dr. ALLEN JACK MOSES D.D.S.
233 S WACKER DR
CHICAGO, IL 60606-6306
Phone number: 312-993-0430
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Mailing Address
Dr. ALLEN JACK MOSES D.D.S.
233 S WACKER DR
CHICAGO, IL 60606-6306
Phone number: 312-993-0430
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