Los Andes Dental And Medical Clinic

LBN: Fuentesburgosservicecorporation
Los Andes Dental And Medical Clinic is an health care organization with primary practice located at 205 Clark St , Aurora IL 60505-4240. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Fuentesburgosservicecorporation can be contacted via phone (630) 264-8042, or through Fuentes, Nubia E. via phone (630) 264-8042.

Contact Information

Primary practice address
205 Clark St Aurora IL 60505-4240
Phone: (630) 264-8042
Fax: (630) 264-8139
Website:
Map and Directions
Authorized official contact:
Name: Fuentes, Nubia E. Doctor of Dental Surgery (DDS)
Phone: (630) 264-8042

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois

Profile Details

NPI number 1114097383
LBN Legal business name Fuentesburgosservicecorporation
DBA Doing business as Los Andes Dental And Medical Clinic
Authorized official Fuentes, Nubia E. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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