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1750426078
PHILIP D DORTCH
CHICAGO, IL
NPI
1750426078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019016946)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
Dr. PHILIP D DORTCH DDS
1738 W NORTH AVE
CHICAGO, IL 60622
Phone number: 773-276-5566
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Mailing Address
Dr. PHILIP D DORTCH DDS
1738 W NORTH AVE
CHICAGO, IL 60622
Phone number: 773-276-5566
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