| NPI | 1700222833 |
|---|---|
| Doing Business As | CHICAGO DOWNTOWN DENTAL SUITE |
| Entity Type | Organization |
| Authorized Contact | MARY JOYCE D. GOMEZ Dentist / President 312-984-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019029129) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |