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Organization

SONRISA DENTAL PC ON ARCHER

Active
Parent organization
SONRISA DENTAL PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SONRISA DENTAL PC
Authorized official
MARY LUKASZCZYK (CHIEF OPERATING OFFICER)
(630) 730-3233
Entity
Organization

Contact information

Practice address
3450 S ARCHER AVE, 2ND FLOOR, CHICAGO, IL 60608-6837
(773) 376-1200
Mailing address
3450 S ARCHER AVE, 2ND FLOOR, CHICAGO, IL 60608-6837
(773) 376-1200

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
06/25/2014
Last updated
06/25/2014
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