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Organization
VLADIK CRUTCHER DMD LLC
Active
Organization
VLADIK CRUTCHER DMD LLC
Active
Other names
The Dental Standard
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLADIK CRUTCHER DMD (PRESIDENT)
(312) 584-0355
Entity
Organization
Contact information
Practice address
1545 W NORTH AVE, CHICAGO, IL 60642-2530
(312) 584-0355
Mailing address
1545 W NORTH AVE, CHICAGO, IL 60642-2530
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
03/06/2020
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