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1720623325
MAIN STREET SQUARE DENTAL, LLC
DOWNERS GROVE, IL
NPI
1720623325
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Entity Type
Organization
Authorized Contact
ROBERT PETERSON
Member
847-624-6700
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2019-11-07
Last Update Date
2019-11-07
Business Address
MAIN STREET SQUARE DENTAL, LLC
2932 FINLEY RD
DOWNERS GROVE, IL 60515-1042
Phone number: 630-629-6299
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Mailing Address
MAIN STREET SQUARE DENTAL, LLC
1644 BARKEI DR
BATAVIA, IL 60510-8304
Phone number: 847-624-6700
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