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Individual

DR. PAUL LANDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
625 N MICHIGAN AVE, SUITE 1020, CHICAGO, IL 60611-3110
(312) 266-6480
(312) 642-8557
Mailing address
625 N MICHIGAN AVE, SUITE 1020, CHICAGO, IL 60611-3110
(312) 266-6480
(312) 642-8557

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
01912005
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01912005
STATE DENTAL LICENSE
IL
Enumeration date
05/29/2007
Last updated
07/08/2007
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