| NPI | 1780102095 |
|---|---|
| Doing Business As | CITY AND COUNTY DENTAL |
| Entity Type | Organization |
| Authorized Contact | LIBORIO PADULA Director 773-424-6401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2022-07-21 |