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Organization
TOWNSEND DENTAL CLINIC
Active
Organization
TOWNSEND DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD TOWNSEND D.D.S. (PRESIDENT)
(773) 874-9555
Entity
Organization
Contact information
Practice address
450-452 E 75TH ST, CHICAGO, IL 60619-4960
(773) 874-9555
(773) 874-9747
Mailing address
450-452 E 75TH ST, CHICAGO, IL 60619-4960
(773) 874-9555
(773) 874-9747
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020723
IL
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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