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Individual

DR. ALBERT L BEITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
8021 W 79TH ST, JUSTICE, IL 60458-1607
(708) 458-7766
(708) 496-1066
Mailing address
8021 W 79TH ST, JUSTICE, IL 60458-1607
(708) 458-7766
(708) 496-1066

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019014794
IL

Other

Enumeration date
05/02/2012
Last updated
05/02/2012
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