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1700309648
FTDC LTD
CHICAGO, IL
NPI
1700309648
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Entity Type
Organization
Authorized Contact
KENNETH KADZIELA
Dentist
312-949-9000
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2017-07-23
Last Update Date
2017-07-23
Business Address
FTDC LTD
2413 S STATE ST
CHICAGO, IL 60616-2311
Phone number: 312-949-9000
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Mailing Address
FTDC LTD
2413 S STATE ST
CHICAGO, IL 60616-2311
Phone number:
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