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1558637926
MT. GREENWOOD DENTAL CLINIC
CHICAGO, IL
NPI
1558637926
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Entity Type
Organization
Authorized Contact
KENNETH BROCKER
Owner
773-238-4451
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019016104)
Enumeration Date
2012-03-29
Last Update Date
2012-03-29
Business Address
MT. GREENWOOD DENTAL CLINIC
3135 W 111TH ST
CHICAGO, IL 60655-2223
Phone number: 773-238-4451
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Mailing Address
MT. GREENWOOD DENTAL CLINIC
3135 W 111TH ST
CHICAGO, IL 60655-2223
Phone number:
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