Organization
DR ISABEL C. SUASTEGUI-MURSULI DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISABEL CRISTINA SUASTEGUI-MURSULI DDS (PRESIDENT/OWNER)
(708) 345-1168
Entity
Organization
Contact information
Practice address
1835 BROADWAY ST, SUITE 210, MELROSE PARK, IL 60160-2040
(708) 345-1168
Mailing address
1835 BROADWAY ST, SUITE 210, MELROSE PARK, IL 60160-2040
(708) 345-1168
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019022083
IL
Other
Enumeration date
04/30/2011
Last updated
04/30/2011
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