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Individual

MR. MILTON JAMES DENT JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
24 PEYTON DR, CHICAGO HEIGHTS, IL 60411-1183
(708) 466-2408
Mailing address
PO BOX 1391, MATTESON, IL 60443-4391
(708) 252-3705

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
05/11/2022
Last updated
05/11/2022
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