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Organization

SONRISA DENTAL LITTLE VILLAGE 26TH

Active
Parent organization
SONRISA DENTAL PC
Other names
Sonrisa Dental Little Village 26th
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
3059 S 26TH ST, CHICAGO, IL 60623
(773) 247-7600
Mailing address
3059 SOUTH 26TH STREET, CHICAGO, IL 60623
(773) 247-7600

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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