BRIDGEPORT DENTAL SMILES LLC

CHICAGO, IL
NPI1518425636
Entity TypeOrganization
Authorized ContactOSCAR G GONZALEZ
Director Of Operations
219-465-8627
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2019-03-07
Last Update Date2019-03-07
Business Address
BRIDGEPORT DENTAL SMILES LLC
3014 S HALSTED ST
CHICAGO, IL 60608-5805
Phone number: 219-465-8627
Mailing Address
BRIDGEPORT DENTAL SMILES LLC
3014 S HALSTED ST
CHICAGO, IL 60608-5805
Phone number: 219-465-8627
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