| NPI | 1750554697 |
|---|---|
| Doing Business As | SONRISA FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JASON KORKUS President 773-778-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 01902511) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |