| NPI | 1114097383 |
|---|---|
| Doing Business As | LOS ANDES DENTAL AND MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | NUBIA E. FUENTES President 630-264-8042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019025449) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |