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Organization
VVN DENTAL PC
Active
Organization
VVN DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIMITRI HARALAMPOPOULOS (CO-OWNER)
(847) 414-3309
Entity
Organization
Contact information
Practice address
12121 WESTERN AVE STE 3, BLUE ISLAND, IL 60406-1386
(708) 293-7773
Mailing address
12121 WESTERN AVE STE 3, BLUE ISLAND, IL 60406-1386
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/25/2011
Last updated
06/25/2011
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