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1700220043
PHIMON ATSAWASUWAN
CHICAGO, IL
NPI
1700220043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL 019028877)
Enumeration Date
2013-04-17
Last Update Date
2013-06-03
Business Address
Dr. PHIMON ATSAWASUWAN
1283 W. WESTGATE TERRACE
CHICAGO, IL 60607
Phone number: 312-928-9728
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Mailing Address
Dr. PHIMON ATSAWASUWAN
1283 W. WESTGATE TERRACE
CHICAGO, IL 60607
Phone number: 312-928-9728
Copy
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