Individual
MISS ASIA BELEN INFANTE BELTRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4941 N KEDZIE AVE, CHICAGO, IL 60625-5009
(773) 509-9200
(773) 509-9247
Mailing address
1050 W GEORGE ST, #310, CHICAGO, IL 60657-4353
(773) 501-4295
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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