| Los Andes Dental And Medical Clinic | |
|
205 Clark St Aurora IL 60505-4240 | |
| (630) 264-8042 | |
| (630) 264-8139 |
| Full Name | Los Andes Dental And Medical Clinic |
|---|---|
| Speciality | Dentist |
| Location | 205 Clark St, Aurora, Illinois |
| Authorized Official Name and Position | Nubia E. Fuentes (PRESIDENT) |
| Authorized Official Contact | 6302648042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Andes Dental And Medical Clinic 205 Clark St Aurora IL 60505-4240 Ph: (630) 264-8042 | Los Andes Dental And Medical Clinic 205 Clark St Aurora IL 60505-4240 Ph: (630) 264-8042 |
| NPI Number | 1114097383 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114097383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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