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1730747338
MIDWAY FAMILY DENTAL, LLC
CHICAGO, IL
NPI
1730747338
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Entity Type
Organization
Authorized Contact
GHAZAL S KERMANI
Manager/Owner
949-701-5320
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2019-05-30
Last Update Date
2019-05-30
Business Address
MIDWAY FAMILY DENTAL, LLC
6258 S PULASKI RD
CHICAGO, IL 60629-4610
Phone number: 773-777-6363
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Mailing Address
MIDWAY FAMILY DENTAL, LLC
6258 S PULASKI RD
CHICAGO, IL 60629-4610
Phone number: 773-777-6363
Copy
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