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1942595442
IRVING PARK FAMILY DENTIST
CHICAGO, IL
NPI
1942595442
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Entity Type
Organization
Authorized Contact
EDISON A ISHAYA
President
773-790-4939
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019024678)
Enumeration Date
2011-06-13
Last Update Date
2011-06-16
Business Address
IRVING PARK FAMILY DENTIST
3431 W IRVING PARK RD
CHICAGO, IL 60618-3217
Phone number: 773-790-4939
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Mailing Address
IRVING PARK FAMILY DENTIST
3431 W IRVING PARK RD
CHICAGO, IL 60618-3217
Phone number: 773-790-4939
Copy
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