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1497189476
MICHAEL CAREY DEFAZIO
NORTH CHICAGO, IL
NPI
1497189476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2013-08-27
Last Update Date
2013-08-27
Business Address
Dr. MICHAEL CAREY DEFAZIO D.D.S.
3001 GREEN BAY RD FISHER DENTAL CLINIC
NORTH CHICAGO, IL 60064-3048
Phone number: 847-688-3331
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Mailing Address
Dr. MICHAEL CAREY DEFAZIO D.D.S.
3001 GREEN BAY RD FISHER DENTAL CLINIC
NORTH CHICAGO, IL 60064-3048
Phone number: 847-688-3331
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