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1962500348
JOHN MICHAEL DOMANICO
CHICAGO, IL
NPI
1962500348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IL 019018098)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Dr. JOHN MICHAEL DOMANICO DDS
30 N MICHIGAN AVE SUITE 522
CHICAGO, IL 60602-3402
Phone number: 312-629-3530
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Mailing Address
Dr. JOHN MICHAEL DOMANICO DDS
30 N MICHIGAN AVE SUITE 522
CHICAGO, IL 60602-3402
Phone number: 312-629-3530
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