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Organization
FAMILY MILLENNIUM DENTISTRY, INC.
Active
Organization
FAMILY MILLENNIUM DENTISTRY, INC.
Active
Other names
MILLENNIUM DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE H ZAGER D.D.S. PC (DENTIST / OWNER)
(312) 767-0407
Entity
Organization
Contact information
Practice address
1342 W RANDOLPH ST, CHICAGO, IL 60607-1522
(312) 767-0407
(312) 988-0292
Mailing address
1342 W RANDOLPH ST, CHICAGO, IL 60607-1522
(312) 767-0407
(312) 988-0292
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021001094
IL
Other
Enumeration date
03/13/2016
Last updated
04/08/2016
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