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1831531706
MARK JAMES BROOMHEAD
SOUTH HOLLAND, IL
NPI
1831531706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019026740)
Enumeration Date
2013-07-22
Last Update Date
2013-07-22
Business Address
Dr. MARK JAMES BROOMHEAD DDS
615 E 162ND ST
SOUTH HOLLAND, IL 60473-2329
Phone number: 773-817-5500
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Mailing Address
Dr. MARK JAMES BROOMHEAD DDS
615 E 162ND ST
SOUTH HOLLAND, IL 60473-2329
Phone number: 773-817-5500
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