| NPI | 1558413583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY HELEN ENRIQUEZ Dentist 773-247-3800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19a-14737) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-03-31 |