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1932842176
ALTA PILSEN PLLC
CHICAGO, IL
NPI
1932842176
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Entity Type
Organization
Authorized Contact
CHRIS WORTH
Managing Member / Owner
218-329-2753
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2022-04-15
Last Update Date
2022-04-15
Business Address
ALTA PILSEN PLLC
1044 W 18TH ST
CHICAGO, IL 60608-4889
Phone number: 773-920-2582
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Mailing Address
ALTA PILSEN PLLC
565 W QUINCY ST UNIT 1506
CHICAGO, IL 60661-2911
Phone number: 218-329-2753
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