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General NPI Number Information
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NPI Number | 1376459867
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Entity Type | Organization
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Legal Business Name | AKG DENTAL
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 225 CANAL ST STE E
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City | LEMONT
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State | IL
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Zip | 60439-3628
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Country | US
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Telephone | 630-914-9727
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Fax | 630-914-9728
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Provider Business Mailing Address
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Address Line | 225 CANAL ST STE E
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City | LEMONT
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State | IL
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Zip | 60439-3628
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Country | US
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Telephone | 630-914-9727
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Fax | 630-914-9728
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Authorized Official
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Title or Position | DENTIST
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Name | ANGELIKA KLUSKA
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Credential | DDS
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Telephone | 708-262-2779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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