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Organization
SUGAR FIX
Active
Organization
SUGAR FIX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA T EMERY (DOCTOR OWNER)
(773) 883-1818
Entity
Organization
Contact information
Practice address
3346 N PAULINA ST, CHICAGO, IL 60657-1038
(773) 883-1818
Mailing address
3346 N PAULINA ST, CHICAGO, IL 60657-1038
(773) 883-1818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026328
IL
Other
Enumeration date
02/16/2007
Last updated
07/03/2008
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