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Individual

DR. CHARLES COLLINS DIFRANCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
511 W TALCOTT RD, PARK RIDGE, IL 60068-5338
(847) 707-7784
Mailing address
511 W TALCOTT RD, PARK RIDGE, IL 60068-5338
(847) 707-7784

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028610
IL

Other

Enumeration date
10/23/2012
Last updated
10/23/2012
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