Sonrisa Family Dental On Kedzie PC
Dentist in Chicago, IL. Organization (NPI-2).
NPI number1750554697
StatusActive
Last updated in NPPESApr 11, 2008
Details
- NPI
- 1750554697
- Entity type
- Organization (NPI-2)
- Legal business name
- Sonrisa Family Dental On Kedzie PC
- Organization subpart
- No
- Enumeration date
- Apr 11, 2008
- Last updated
- Apr 11, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 01902511 | IL | Yes |
Other names
- Sonrisa Family Dental (Doing Business As)
Practice location
5050 S Kedzie AveChicago, IL 60632-3009
Phone 773-778-2200
Mailing address
5050 S Kedzie AveChicago, IL 60632-3009
Phone 773-778-2200
Authorized official
Jason Korkus
President
7737782200
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