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Individual

GEORGE PANTELIS DANOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5101 W 111TH ST, ALSIP, IL 60803-6073
(708) 424-2277
(708) 424-6611
Mailing address
5101 W 111TH ST, ALSIP, IL 60803-6073
(708) 424-2277
(708) 424-6611

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D19017908
IL

Other

Enumeration date
09/24/2014
Last updated
09/24/2014
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