CARLA JULISSA DELAFUENTE

CHICAGO, IL
NPI1497952816
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  19027431)
Enumeration Date2007-06-29
Last Update Date2007-07-08
Business Address
Dr. CARLA JULISSA DELAFUENTE DDS
3057 W CERMAK RD
CHICAGO, IL 60623-3548
Phone number: 773-297-0200
Mailing Address
Dr. CARLA JULISSA DELAFUENTE DDS
430 W ERIE ST STE 500
CHICAGO, IL 60610-4032
Phone number: 312-274-0308