SONRISA CAPITATION CCHC PROFESSIONAL CORPORATION SONRISA FAMILY DENTAL

CHICAGO, IL
NPI1760054811
Entity TypeOrganization
Authorized ContactJASON KORKUS
Owner/President
312-722-6460
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2021-07-16
Last Update Date2021-07-16
Business Address
SONRISA CAPITATION CCHC PROFESSIONAL CORPORATION SONRISA FAMILY DENTAL
9718 S HALSTED ST
CHICAGO, IL 60628-1007
Phone number: 872-703-3032
Mailing Address
SONRISA CAPITATION CCHC PROFESSIONAL CORPORATION SONRISA FAMILY DENTAL
3520 S MORGAN ST STE 207-208
CHICAGO, IL 60609-1533
Phone number: 312-722-6460