| NPI | 1477120616 |
|---|---|
| Doing Business As | SONRISA ESPERANZA CAPITATION LLC |
| Entity Type | Organization |
| Authorized Contact | JASON K KORKUS Owner/President 312-722-6460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2021-06-07 |