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1689264616
DENTAL 360-BUCKTOWN LLC
CHICAGO, IL
NPI
1689264616
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Entity Type
Organization
Authorized Contact
MOHAMMED PARVEZ
Member
773-798-9382
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2021-01-23
Last Update Date
2021-01-23
Business Address
DENTAL 360-BUCKTOWN LLC
2500 W NORTH AVE
CHICAGO, IL 60647-5202
Phone number: 773-360-1281
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Mailing Address
DENTAL 360-BUCKTOWN LLC
2500 W NORTH AVE
CHICAGO, IL 60647-5202
Phone number:
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