Organization
DENTISTAS HISPANOS FOUNDATION FOR ORAL HEALTH CARE , P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIANCARLO MALDONADO D.D.S. (DENTIST)
(630) 965-6326
Entity
Organization
Contact information
Practice address
3622 W 26TH ST, CHICAGO, IL 60623-3936
(773) 522-5252
Mailing address
1520 CRAB TREE DR, WESTMONT, IL 60559-3466
(630) 965-6326
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019.026594
IL
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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