Organization
ISABELLA TERRASSA REYES DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISABELLA TERRASSA REYES D.M.D. (OWNER)
(939) 475-6629
Entity
Organization
Contact information
Practice address
100 W CHESTNUT ST, APT. 1008, CHICAGO, IL 60610-3225
(939) 475-6629
Mailing address
100 W CHESTNUT ST, APT. 1008, CHICAGO, IL 60610-3225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.029465
IL
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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