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1528629656
TENY MATAVOOSI
CHICAGO, IL
NPI
1528629656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019.032227)
Enumeration Date
2019-06-28
Last Update Date
2019-06-28
Business Address
Dr. TENY MATAVOOSI DDS
7110 W ARCHER AVE
CHICAGO, IL 60638-2204
Phone number: 773-432-4744
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Mailing Address
Dr. TENY MATAVOOSI DDS
324 S MAPLE AVE APT 3B
OAK PARK, IL 60302-3430
Phone number: 818-731-7383
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