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1891025540
BRIDGEPORT DENTAL SPECIALISTS, LLC
CHICAGO, IL
NPI
1891025540
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Entity Type
Organization
Authorized Contact
SAM PARK
Partner
312-326-5437
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019025818)
Enumeration Date
2009-12-31
Last Update Date
2009-12-31
Business Address
BRIDGEPORT DENTAL SPECIALISTS, LLC
2959 S WALLACE ST
CHICAGO, IL 60616
Phone number: 312-326-5437
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Mailing Address
BRIDGEPORT DENTAL SPECIALISTS, LLC
2959 S WALLACE ST
CHICAGO, IL 60616
Phone number:
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