| NPI | 1427409374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA M TORRES President 773-532-9367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28861) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2018-09-21 |