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1497952816
CARLA JULISSA DELAFUENTE
CHICAGO, IL
NPI
1497952816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 19027431)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
Dr. CARLA JULISSA DELAFUENTE DDS
3057 W CERMAK RD
CHICAGO, IL 60623-3548
Phone number: 773-297-0200
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Mailing Address
Dr. CARLA JULISSA DELAFUENTE DDS
430 W ERIE ST STE 500
CHICAGO, IL 60610-4032
Phone number: 312-274-0308
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