Organization · Type 2 NPI

Sonrisa Dental Little Village 26th

Dental Clinic/Center · Chicago, IL

NPI number 1982019204 Active

Practice location

3059 S 26th St
Chicago, IL 60623

Call (773) 247-7600 Map

Mailing address

3059 South 26th Street
Chicago, IL 60623

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

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NPI record

NPI: 1982019204
Entity type: Organization (Type 2)
Issued: Jun 25, 2014
Last updated: Jun 25, 2014
Status: Active
Subpart: Yes of Sonrisa Dental PC

Other names

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Sonrisa Dental Little Village 26th · doing business as

Authorized official

Mary Lukaszczyk
Chief Operating Officer
(630) 730-3233

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About NPI 1982019204

Sonrisa Dental Little Village 26th's National Provider Identifier is 1982019204, issued on Jun 25, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chicago, IL. The record was last updated on Jun 25, 2014.