| 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 |