# DENTISTAS HISPANOS FOUNDATION FOR ORAL HEALTH CARE , P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437309945
- **Authorized official:** DR. GIANCARLO MALDONADO D.D.S. (DENTIST)
- **Authorized official phone:** (630) 965-6326

## Contact information

- **Practice address:** 3622 W 26TH ST, CHICAGO, IL 60623-3936
- **Practice address phone:** (773) 522-5252
- **Mailing address:** 1520 CRAB TREE DR, WESTMONT, IL 60559-3466
- **Mailing address phone:** (630) 965-6326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 019.026594 | IL | Yes |

## Other

- **Enumeration date:** 09/22/2008
- **Last updated:** 09/22/2008