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1518096361
NATHAN LONG
CHICAGO, IL
NPI
1518096361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019017543)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
Mr. NATHAN LONG D.D.S
8210 S KING DR
CHICAGO, IL 60619-4904
Phone number: 773-233-1119
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Mailing Address
Mr. NATHAN LONG D.D.S
8210 S KING DR
CHICAGO, IL 60619-4904
Phone number: 773-233-1119
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