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1952403255
LACEY MONTIREY GREEN
CHICAGO, IL
NPI
1952403255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019027837)
Enumeration Date
2006-09-05
Last Update Date
2009-02-26
Business Address
Dr. LACEY MONTIREY GREEN D.D.S.
8245 S KING DR
CHICAGO, IL 60619-4903
Phone number: 773-873-7000
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Mailing Address
Dr. LACEY MONTIREY GREEN D.D.S.
100 E 14TH ST
CHICAGO, IL 60605-2889
Phone number: 404-849-6181
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