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1952894248
MICHAEL KIRK SUBTELNY
CHICAGO, IL
NPI
1952894248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019.031632)
Enumeration Date
2018-06-11
Last Update Date
2021-03-18
Business Address
MICHAEL KIRK SUBTELNY DMD
4401 W LAWRENCE AVE
CHICAGO, IL 60630-2510
Phone number: 773-725-6086
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Mailing Address
MICHAEL KIRK SUBTELNY DMD
4401 W LAWRENCE AVE
CHICAGO, IL 60630-2510
Phone number: 773-725-6086
Copy
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