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1568992733
KYLE JOSEPH FAIRBANKS
CHICAGO, IL
NPI
1568992733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019031179)
Enumeration Date
2017-06-19
Last Update Date
2017-06-19
Business Address
Dr. KYLE JOSEPH FAIRBANKS DMD
2500 W NORTH AVE
CHICAGO, IL 60647-5202
Phone number: 773-360-1281
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Mailing Address
Dr. KYLE JOSEPH FAIRBANKS DMD
710 W MELROSE ST UNIT 2
CHICAGO, IL 60657-3418
Phone number: 847-370-9280
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