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1528487220
BRIDGEPORT SMILES
CHICAGO, IL
NPI
1528487220
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Entity Type
Organization
Authorized Contact
NEEPA MODI
Owner
312-291-9283
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019026249)
Enumeration Date
2014-04-09
Last Update Date
2014-09-02
Business Address
BRIDGEPORT SMILES
3014 S HALSTED ST
CHICAGO, IL 60608-5805
Phone number: 312-291-9283
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Mailing Address
BRIDGEPORT SMILES
3014 S HALSTED ST
CHICAGO, IL 60608-5805
Phone number: 312-291-9283
Copy
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