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1508268053
MIDWEST FAMILY DENTAL, LLC
WAUKEGAN, IL
NPI
1508268053
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Entity Type
Organization
Authorized Contact
RANDOLPH CHANG
Member
773-267-8600
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2014-09-16
Last Update Date
2014-09-16
Business Address
MIDWEST FAMILY DENTAL, LLC
916 N GREEN BAY RD
WAUKEGAN, IL 60085-2240
Phone number: 773-267-8600
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Mailing Address
MIDWEST FAMILY DENTAL, LLC
916 N GREEN BAY RD
WAUKEGAN, IL 60085-2240
Phone number: 773-267-8600
Copy
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