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1962407239
MARK J. GRUNBERG
CHICAGO, IL
NPI
1962407239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019-018396)
Enumeration Date
2005-06-14
Last Update Date
2007-07-09
Business Address
Dr. MARK J. GRUNBERG D.D.S.
3758 W CHICAGO AVE
CHICAGO, IL 60651-3823
Phone number: 773-276-6600
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Mailing Address
Dr. MARK J. GRUNBERG D.D.S.
3758 W CHICAGO AVE
CHICAGO, IL 60651-3823
Phone number: 773-276-6600
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