Organization
SARA BANUELOS D.D.S SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CLAUDIA L IBARRA (ADMINISTRATOR)
(630) 241-0666
Entity
Organization
Contact information
Practice address
3800 HIGHLAND AVE, SUITE 108, DOWNERS GROVE, IL 60515-1557
(630) 241-0666
(630) 241-7275
Mailing address
3800 HIGHLAND AVE, SUITE 108, DOWNERS GROVE, IL 60515-1557
(630) 241-0666
(630) 241-7275
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021895
IL
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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