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1801151022
JASON PATRICK GENTA
CHICAGO, IL
NPI
1801151022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019.028939)
Enumeration Date
2012-07-13
Last Update Date
2012-07-13
Business Address
-- JASON PATRICK GENTA DDS
6749 N OSHKOSH AVE
CHICAGO, IL 60631-1162
Phone number: 773-631-5141
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Mailing Address
-- JASON PATRICK GENTA DDS
1250 W VAN BUREN ST APT 707
CHICAGO, IL 60607-2820
Phone number: 217-273-5518
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