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Contact Information

SONRISA FAMILY DENTAL
9718 SOUTH HALSTED STREET
CHICAGO , IL60628
 Phone: 872-703-3036
 Fax: 312-893-2275
 Website: http://sonrisafamilydental.com/locations/christian/
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for SONRISA FAMILY DENTAL

NPI # 1053988204
LBN Legal business name SONRISA FAMILY DENTAL
Authorized official JASON KORKUS - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/07/2021
Last updated 06/07/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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