Organization
BEAUTY DENTAL INC
Active
Other names
Ida L Aguilar DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IDA LUCIA AGUILAR DDS (DDS)
(773) 286-5655
Entity
Organization
Contact information
Practice address
3055 N PULASKI RD, CHICAGO, IL 60641
(773) 286-5655
(773) 286-3084
Mailing address
3055 N PULASKI RD, CHICAGO, IL 60641
(773) 286-5655
(773) 286-3084
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020211
IL
Other
Enumeration date
04/03/2007
Last updated
08/16/2012
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