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1649480138
FULLERTON FAMILY DENTISTRY, LTD
CHICAGO, IL
NPI
1649480138
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Entity Type
Organization
Authorized Contact
JOSEPH J FORNAL
Sectretary
773-252-5757
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2007-05-23
Last Update Date
2020-08-22
Business Address
FULLERTON FAMILY DENTISTRY, LTD
4725 W FULLERTON AVE
CHICAGO, IL 60639-1817
Phone number: 773-252-5757
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Mailing Address
FULLERTON FAMILY DENTISTRY, LTD
4725 W FULLERTON AVE
CHICAGO, IL 60639-1817
Phone number: 773-252-5757
Copy
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