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1841484417
DANA A FORT
CHICAGO, IL
NPI
1841484417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 19027498)
Enumeration Date
2007-08-28
Last Update Date
2010-11-01
Business Address
Dr. DANA A FORT D.D.S.
4112 N LINCOLN AVE
CHICAGO, IL 60618-3028
Phone number: 773-883-4444
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Mailing Address
Dr. DANA A FORT D.D.S.
4112 N LINCOLN AVE
CHICAGO, IL 60618-3028
Phone number: 773-883-4444
Copy
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