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Individual

JACQUELINE SUNJA PROMPTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
2400 N ASHLAND AVE. SUITE 200, CHICAGO, IL 60614
(312) 500-5001
Mailing address
2400 N ASHLAND AVE. SUITE 200, CHICAGO, IL 60614
(312) 500-5001

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
16294
TX
1223G0001X
General Practice Dentistry
Primary
019031964
IL

Other

Enumeration date
05/23/2007
Last updated
02/13/2020
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