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1992969489
LAWRENCE M. BONANNO
CHICAGO, IL
NPI
1992969489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: IL IL19A16050)
Enumeration Date
2008-07-14
Last Update Date
2009-10-14
Business Address
DR. LAWRENCE M. BONANNO D.D.S.
4801 W. PETERSON AVE 316
CHICAGO, IL 60646
Phone number: 773-685-9666
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Mailing Address
DR. LAWRENCE M. BONANNO D.D.S.
4801 W. PETERSON AVE 316
CHICAGO, IL 60646
Phone number: 773-685-9666
Copy
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