Individual
DR. MICHAEL ANDRE' DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
255 E 103RD ST, CHICAGO, IL 60628-2807
(773) 468-4554
(773) 468-4848
Mailing address
255 E 103RD ST, CHICAGO, IL 60628-2807
(773) 468-4554
(773) 468-4848
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019023067
IL
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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