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1568726206
FAMILIA DENTAL PEORIA 5 LLC
PEORIA, IL
NPI
1568726206
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Entity Type
Organization
Authorized Contact
KOUSHAN AZAD
President
888-988-4066
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2012-06-27
Last Update Date
2012-06-27
Business Address
FAMILIA DENTAL PEORIA 5 LLC
1403 W GLEN AVE
PEORIA, IL 61614-4705
Phone number: 888-988-4066
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Mailing Address
FAMILIA DENTAL PEORIA 5 LLC
2050 E ALGONQUIN RD SUITE 610
SCHAUMBURG, IL 60173-4144
Phone number: 888-988-4066
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