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Organization

DEVON DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MANOJ KUMAR (OFFICE MANAGER)
(773) 764-3200
Entity
Organization

Contact information

Practice address
2820 W DEVON AVE, CHICAGO, IL 60659-1502
(773) 764-3200
(773) 764-3225
Mailing address
2820 W DEVON AVE, CHICAGO, IL 60659-1502
(773) 764-3200
(773) 764-3225

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
05/08/2008
Last updated
05/08/2008
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