NPI | 1275355604 |
---|---|
Former Legal Business Name | ELISA OCHOA DDS LTD |
Entity Type | Organization |
Authorized Contact | ELISA OCHOA General Dentist 773-490-1075 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-10-28 |
Last Update Date | 2024-10-28 |