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Individual
DR. THOMAS ANGERAME
Active
Individual
DR. THOMAS ANGERAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030705
IL
1223G0001X
General Practice Dentistry
019030705
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019030705
GENERAL DENTIST
IL
Enumeration date
06/16/2016
Last updated
05/21/2018
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