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Individual

DR. ASHUR B. JOSEPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
4801 W PETERSON AVE, SUITE 550, CHICAGO, IL 60646-5713
(773) 777-1070
(773) 736-0882
Mailing address
4801 W PETERSON AVE, SUITE 550, CHICAGO, IL 60646-5713
(773) 777-1070
(773) 736-0882

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019016865
IL

Other

Enumeration date
06/24/2008
Last updated
06/24/2008
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