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Individual

JANICE MCCANTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1839 W 107TH STREET, CHICAGO, IL 60643
(773) 445-8930
Mailing address
1839 W 107TH STREET, CHICAGO, IL 60643
(773) 445-8930

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
01925087
IL

Other

Enumeration date
03/02/2007
Last updated
07/08/2007
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