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1649717752
EGDCLTD
CHICAGO, IL
NPI
1649717752
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Entity Type
Organization
Authorized Contact
KENNETH KADZIELA
Dentist
312-885-0562
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019020204)
Enumeration Date
2017-01-26
Last Update Date
2017-01-26
Business Address
EGDCLTD
2451 W 79TH ST
CHICAGO, IL 60652-1734
Phone number: 312-885-0562
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Mailing Address
EGDCLTD
2451 W 79TH ST
CHICAGO, IL 60652-1734
Phone number:
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