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1568531721
BRUCE BLAS COSTAGLI
SCHAUMBURG, IL
NPI
1568531721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019-018837)
Enumeration Date
2006-11-06
Last Update Date
2007-07-08
Business Address
Dr. BRUCE BLAS COSTAGLI D.D.S.
967 W GOLF RD
SCHAUMBURG, IL 60194-1329
Phone number: 847-882-8989
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Mailing Address
Dr. BRUCE BLAS COSTAGLI D.D.S.
967 W GOLF RD
SCHAUMBURG, IL 60194-1329
Phone number: 847-882-8989
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