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Individual

ANNE AZZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
124 E HIGHLAND DR, FORSYTH, IL 62535-8906
(217) 330-5440
Mailing address
1662 NEBRASKA DR, ELK GROVE VILLAGE, IL 60007-2915

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.032445
IL

Other

Enumeration date
12/27/2019
Last updated
12/27/2019
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