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1770590135
THEODORE JOHN BORRIS
MT PROSPECT, IL
NPI
1770590135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019-018198)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
Dr. THEODORE JOHN BORRIS D.D.S.
411 W WALNUT ST
MT PROSPECT, IL 60056-2472
Phone number: 847-253-3203
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Mailing Address
Dr. THEODORE JOHN BORRIS D.D.S.
411 W WALNUT ST
MT PROSPECT, IL 60056-2472
Phone number: 847-253-3203
Copy
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