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Organization
SUSAN C. CHARLES, D.D.S., P.C.
Active
Organization
SUSAN C. CHARLES, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN CHRISTINE CHARLES D.D.S. (PRESIDENT)
(847) 689-2900
Entity
Organization
Contact information
Practice address
2233 GREEN BAY RD, NORTH CHICAGO, IL 60064-3006
(847) 689-2900
(847) 689-9388
Mailing address
2233 GREEN BAY RD, NORTH CHICAGO, IL 60064-3006
(847) 689-2900
(847) 689-9388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.028167
IL
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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