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Organization

ORAL KARE NETWORK LLL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GUADALUPE GONZALEZ-HOLDERBAUM (OFFICE COORIDNATOR)
(773) 585-5176
Entity
Organization

Contact information

Practice address
4020 W 59TH ST, CHICAGO, IL 60629-4512
(773) 585-5176
(773) 585-5188
Mailing address
4020 W 59TH ST, CHICAGO, IL 60629-4512
(773) 585-5176
(773) 585-5188

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
06/04/2007
Last updated
08/22/2020
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