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1720510258
LARITA SMITH
CHICAGO, IL
NPI
1720510258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: IL 020009349)
Enumeration Date
2017-04-03
Last Update Date
2017-04-03
Business Address
-- LARITA SMITH RDH
6821 S HALSTED ST
CHICAGO, IL 60621-1833
Phone number: 773-651-3629
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Mailing Address
-- LARITA SMITH RDH
1619 W OLIVE AVE
CHICAGO, IL 60660-4102
Phone number: 773-996-8794
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