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Organization

NORTH CLARK DENTAL

Active
Other names
Dr Victor Tomasian DMD LTD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VICTOR W TOMASIAN DMD (PRESIDENT)
(773) 262-8393
Entity
Organization

Contact information

Practice address
6339 N CLARK ST, CHICAGO, IL 60660
(773) 262-8393
(773) 262-5896
Mailing address
6339 N CLARK ST, CHICAGO, IL 60660
(773) 262-8393
(773) 262-5896

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
019022349
IL

Other

Enumeration date
07/31/2012
Last updated
07/31/2012
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