Organization
DR CESAR OTERO DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CESAR RICARDO OTERO DDS (OWNER)
(847) 228-0120
Entity
Organization
Contact information
Practice address
60 TURNER AVE, LOWER LEVEL WEST, ELK GROVE VILLAGE, IL 60007-3956
(847) 228-0120
Mailing address
1197 WINDHAM LN, ELK GROVE VILLAGE, IL 60007-7245
(847) 891-1148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019023335
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105150
—
IL
Enumeration date
01/29/2007
Last updated
04/01/2008
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