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Organization
ORAL KARE NETWORK LLL
Active
Organization
ORAL KARE NETWORK LLL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GUADALUPE GONZALEZ-HOLDERBAUM (OFFICE COORIDNATOR)
(773) 585-5176
Entity
Organization
Contact information
Practice address
4020 W 59TH ST, CHICAGO, IL 60629-4512
(773) 585-5176
(773) 585-5188
Mailing address
4020 W 59TH ST, CHICAGO, IL 60629-4512
(773) 585-5176
(773) 585-5188
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2007
Last updated
08/22/2020
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