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Individual

NICHOLAS CROSSLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2410 SAMPSON ST, GREAT LAKES, IL 60088-2942
(847) 688-2469
Mailing address
2410 SAMPSON ST, GREAT LAKES, IL 60088-2942
(847) 688-2469

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8400
SC

Other

Enumeration date
08/28/2014
Last updated
08/28/2014
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