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1497814842
EDWARD MASCORRO
CHICAGO, IL
NPI
1497814842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019018387)
Enumeration Date
2006-12-08
Last Update Date
2007-07-08
Business Address
Dr. EDWARD MASCORRO DDS
4444 SOUTH ARCHER
CHICAGO, IL 60632
Phone number: 773-254-0303
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Mailing Address
Dr. EDWARD MASCORRO DDS
4444 SOUTH ARCHER AVE
CHICAGO, IL 60632
Phone number: 773-254-0303
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