NPI | 1780251926 |
---|---|
Doing Business As | SONRISA CAPITATION LLC |
Entity Type | Organization |
Authorized Contact | JASON K KORKUS Owner/President 312-925-0042 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-06-07 |
Last Update Date | 2021-06-08 |