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1700865441
JOHN JOSEPH RICHARD
CRYSTAL LAKE, IL
NPI
1700865441
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IL 019026082)
Enumeration Date
2006-01-11
Last Update Date
2007-07-08
Business Address
Dr. JOHN JOSEPH RICHARD DDS
690 NORTH ROUTE 31
CRYSTAL LAKE, IL 60012
Phone number: 815-459-5600
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Mailing Address
Dr. JOHN JOSEPH RICHARD DDS
9915 CARLISLE LN
VILLAGE OF LAKEWOOD, IL 60014-4819
Phone number: 815-444-1533
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