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Individual

DR. ANTHONY GERARD LUMPKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
9119 S EXCHANGE AVE, SUITE 101, CHICAGO, IL 60617-4225
(773) 768-5000
Mailing address
570 E 115TH ST, CHICAGO, IL 60628-5740
(773) 768-5000

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.021755
IL

Other

Enumeration date
03/07/2008
Last updated
07/27/2016
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