Organization
SONRISA DENTAL ON ASHLAND
Active
Parent organization
SONRISA DENTAL PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SONRISA DENTAL PC
Authorized official
DR. MARY LUKASZCZYK (CHIEF OPERATING OFFICER)
(630) 730-3233
Entity
Organization
Contact information
Practice address
1713 S ASHLAND AVE, CHICAGO, IL 60608-2014
(630) 730-3233
(773) 484-1205
Mailing address
1713 S ASHLAND AVE, CHICAGO, IL 60608-2014
(630) 730-3233
(773) 484-1205
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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