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1912136623
MONTROSE DENTAL CLINIC PC
CHICAGO, IL
NPI
1912136623
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Entity Type
Organization
Authorized Contact
DAVID FANG
Dentist
773-969-0198
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019025991)
Enumeration Date
2009-07-02
Last Update Date
2009-07-02
Business Address
MONTROSE DENTAL CLINIC PC
3541 W. MONTROSE AVE UNIT 1W
CHICAGO, IL 60618
Phone number: 773-463-8000
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Mailing Address
MONTROSE DENTAL CLINIC PC
3541 W. MONTROSE AVE UNIT 1W
CHICAGO, IL 60618
Phone number: 773-463-8000
Copy
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