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1831742733
PRAIRIE DENTAL OF OAK PARK LLC
OAK PARK, IL
NPI
1831742733
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Entity Type
Organization
Authorized Contact
OSCAR G GONZALEZ
Director Of Operations
219-465-8627
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2019-07-19
Last Update Date
2019-07-19
Business Address
PRAIRIE DENTAL OF OAK PARK LLC
1010 LAKE ST
OAK PARK, IL 60301-1147
Phone number: 219-465-8627
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Mailing Address
PRAIRIE DENTAL OF OAK PARK LLC
1010 LAKE ST
OAK PARK, IL 60301-1147
Phone number: 219-465-8627
Copy
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