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Organization
DM FAMILLY DENTISTRY
Active
Organization
DM FAMILLY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DORIS MADRIGAL DDS (PRESIDENT)
(773) 525-5757
Entity
Organization
Contact information
Practice address
4725 W FULLERTON AVE, CHICAGO, IL 60639-1817
(773) 252-5757
(773) 252-4811
Mailing address
4725 W FULLERTON AVE, CHICAGO, IL 60639-1817
(773) 525-5757
(773) 252-4811
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
319011740019022762
IL
Other
Enumeration date
10/28/2008
Last updated
08/24/2009
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