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1609077999
THEODORE EDMUND BRASKY
ORLAND PARK, IL
NPI
1609077999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: IL 019-013313)
Enumeration Date
2007-05-31
Last Update Date
2007-07-08
Business Address
DR. THEODORE EDMUND BRASKY DDS
15300 WEST AVE SUITE 111
ORLAND PARK, IL 60462-4600
Phone number: 708-349-1515
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Mailing Address
DR. THEODORE EDMUND BRASKY DDS
15300 WEST AVE SUITE 111
ORLAND PARK, IL 60462-4600
Phone number: 708-349-1515
Copy
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