NPI | 1730210154 |
---|---|
Other Name | GABRIELA BALTIERRES |
Entity Type | Organization |
Authorized Contact | GABRIELA BALTIERRES Pres 773-843-1980 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019-024348) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2020-08-22 |