Organization
BETSY H. ENRIQUEZ DENTAL SERVICES, LTD.
Active
Parent organization
BETSY H. ENRIQUEZ D.D.S.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BETSY H. ENRIQUEZ D.D.S.
Authorized official
DR. BETSY HELEN ENRIQUEZ D.D.S. (DENTIST)
(773) 247-3800
Entity
Organization
Contact information
Practice address
736 W 35TH ST, CHICAGO, IL 60616-4484
(773) 247-3800
(847) 720-4757
Mailing address
736 W 35TH ST, CHICAGO, IL 60616-4484
(773) 247-3800
(847) 720-4757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19A-14737
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19A-14737
LICENSE
IL
Enumeration date
01/18/2007
Last updated
03/31/2008
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