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Organization

SUZY AZALEA DMD LDT

Active
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Organization

SUZY AZALEA DMD LDT

Active
Other names
Lily Cache Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUZY AZALEA DMD (DENTIST)
(630) 739-9430
Entity
Organization

Contact information

Practice address
761 E BOUGHTON RD, BOLINGBROOK, IL 60440
(630) 739-9430
Mailing address
761 E BOUGHTON RD, BOLINGBROOK, IL 60440
(630) 739-9430

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL

Other

Enumeration date
12/28/2006
Last updated
08/22/2020
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