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Organization
PLAZA DENTAL GROUP, LTD.
Active
Organization
PLAZA DENTAL GROUP, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT A. GASPARAITIS JR. D.D.S. (OFFICER)
(773) 637-8696
Entity
Organization
Contact information
Practice address
3338 N HARLEM AVE, CHICAGO, IL 60634-3601
(773) 637-8696
(773) 637-8666
Mailing address
3338 N HARLEM AVE, CHICAGO, IL 60634-3601
(773) 637-8696
(773) 637-8666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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