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Individual

DR. LOOLUL MARJAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2821 GRAND AVE, WAUKEGAN, IL 60085-2372
(847) 662-4400
Mailing address
2341 CRYDON PL, NORTHBROOK, IL 60062-5983
(734) 834-9853

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030865
IL

Other

Enumeration date
08/09/2016
Last updated
08/13/2016
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