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Organization
PILSEN DENTAL GROUP
Active
Organization
PILSEN DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS TSALIAGOS DDS (OWNER)
13126665560
Entity
Organization
Contact information
Practice address
1859 S BLUE ISLAND AVE, CHICAGO, IL 60608-3012
(131) 266-6556
Mailing address
1859 S BLUE ISLAND AVE, CHICAGO, IL 60608-3012
(131) 266-6556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19023116
IL
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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