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Individual

ADAM OSTRAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
801 S PAULINA ST, DEPARTMENT OF RESTORATIVE DENTISTRY, CHICAGO, IL 60612-7210
(312) 996-2669
Mailing address
801 S PAULINA ST, DEPARTMENT OF RESTORATIVE DENTISTRY, CHICAGO, IL 60612-7210
(320) 420-3917

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030893
IL

Other

Enumeration date
08/04/2016
Last updated
10/04/2016
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