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1851896286
KETAN S BEDMUTHA
CHICAGO, IL
NPI
1851896286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019.032066)
Enumeration Date
2018-03-27
Last Update Date
2021-04-24
Business Address
KETAN S BEDMUTHA DMD
1950 W CERMAK RD
CHICAGO, IL 60608-4204
Phone number: 773-376-2777
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Mailing Address
KETAN S BEDMUTHA DMD
601 W JACKSON BLVD UNIT 1404
CHICAGO, IL 60661-5642
Phone number: 716-725-1593
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