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1497814420
STEPHANIE P. LISS
CHICAGO, IL
NPI
1497814420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019025409)
Enumeration Date
2006-12-06
Last Update Date
2007-07-08
Business Address
-- STEPHANIE P. LISS D.D.S.
5200 S ARCHER AVE
CHICAGO, IL 60632-4772
Phone number: 773-581-1345
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Mailing Address
-- STEPHANIE P. LISS D.D.S.
5200 S ARCHER AVE
CHICAGO, IL 60632-4772
Phone number: 773-581-1345
Copy
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