TERRY ANNEX

SKOKIE, IL
NPI1568478360
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist Periodontics
(Licence: IL  19-A12871)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
TERRY ANNEX D.D.S.
64 OLD ORCHARD CENTER SUITE 616
SKOKIE, IL 60077-1421
Phone number: 847-675-2090
Mailing Address
TERRY ANNEX D.D.S.
64 OLD ORCHARD CENTER SUITE 616
SKOKIE, IL 60077-1421
Phone number: 847-675-2090
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