Organization
ASIA I.BELTRAN DDS, PC
Active
Other names
Impressions Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASIA BELTRAN GARCIA DDS (PRESIDENT)
(773) 501-2495
Entity
Organization
Contact information
Practice address
3270 N CLARK ST, CHICAGO, IL 60657-1602
(773) 698-6983
(773) 698-6425
Mailing address
3270 N CLARK ST, CHICAGO, IL 60657-1602
(773) 698-6983
(773) 698-6425
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026985
IL
Other
Enumeration date
08/08/2008
Last updated
12/30/2019
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