| 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 |