Organization
SOFIA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SILVIA VALTCHEVA (PRESIDENT)
(773) 770-4766
Entity
Organization
Contact information
Practice address
4413 N CLARK ST, CHICAGO, IL 60640-5403
(773) 770-4766
(773) 770-4766
Mailing address
4413 N CLARK ST, CHICAGO, IL 60640-5403
(773) 770-4766
(773) 770-4766
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019028285
IL
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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