NPI | 1366758435 |
---|---|
Entity Type | Organization |
Authorized Contact | LETICIA MARTINEZ Dentist 773-522-2929 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027035) |
Enumeration Date | 2010-08-26 |
Last Update Date | 2011-09-23 |