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Individual

DR. CHARU K. VIBHAKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
3902 HARLEM AVE, LYONS, IL 60534-1208
(708) 442-1900
(708) 442-4999
Mailing address
3902 HARLEM AVE, LYONS, IL 60534-1208
(708) 442-1900
(708) 442-4999

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IL

Other

Enumeration date
03/31/2008
Last updated
03/31/2008
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