Organization
CENTRO DENTAL FAMILIAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCIO MARTINEZ DDS (OWNER)
(773) 847-4540
Entity
Organization
Contact information
Practice address
3110 S MILLARD AVE, CHICAGO, IL 60623-5025
(773) 847-4540
Mailing address
3110 S MILLARD AVE, CHICAGO, IL 60623-5025
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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