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1609357045
VIVIAN CASTELLANOS
CHICAGO, IL
NPI
1609357045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019.031699)
Enumeration Date
2018-08-23
Last Update Date
2018-08-23
Business Address
VIVIAN CASTELLANOS DMD
971 W 18TH ST
CHICAGO, IL 60608-2362
Phone number: 312-971-8528
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Mailing Address
VIVIAN CASTELLANOS DMD
6240 W BELLE PLAINE AVE
CHICAGO, IL 60634-1517
Phone number: 773-820-1738
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