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1669958674
FADI A ELAYYAN
SOUTH BEND, IN
NPI
1669958674
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12012982A)
Enumeration Date
2018-07-12
Last Update Date
2018-07-12
Business Address
Dr. FADI A ELAYYAN DMD
1005 E LASALLE AVE
SOUTH BEND, IN 46617-2818
Phone number: 574-367-7000
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Mailing Address
Dr. FADI A ELAYYAN DMD
15616 HEATHERGLEN CT
ORLAND PARK, IL 60462-2312
Phone number: 708-403-4650
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