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Organization
PROSNIEWSKI AND PAPA PC
Active
Organization
PROSNIEWSKI AND PAPA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JAMES PROSNIEWSKI DDS (PRESIDENT)
(708) 456-6882
Entity
Organization
Contact information
Practice address
7609 W BELMONT AVE, ELMWOOD PARK, IL 60707-1113
(708) 456-6882
Mailing address
7609 W BELMONT AVE, ELMWOOD PARK, IL 60707-1113
(708) 456-6882
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019018332
IL
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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