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1710145065
MIDWEST DENTAL GROUP
CHICAGO, IL
NPI
1710145065
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Entity Type
Organization
Authorized Contact
DAVID HORBERG
Dentist
773-257-6485
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019013845)
Enumeration Date
2008-05-22
Last Update Date
2008-05-22
Business Address
MIDWEST DENTAL GROUP
2720 W 15TH ST 114 KLING
CHICAGO, IL 60608-1610
Phone number: 773-257-6485
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Mailing Address
MIDWEST DENTAL GROUP
2720 W 15TH ST
CHICAGO, IL 60608-1610
Phone number: 773-257-6485
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