Blanca Murillo Dds

NPI 1093968869 - Dentist - 122300000X

NPI Details
NPI 1093968869
Enumeration Date 10/24/2008
Last Updated 10/24/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name BLANCA ESTELA BLANCA
Position DENTIST
Phone (773) 235-0000
Fax
Practice Location
3939 W FULLERTON AVE
CHICAGO IL, 60647-2243, US
Phone (773) 235-0000
Fax
Business Location
4634 S HERMITAGE AVE
CHICAGO IL, 60609-3831, US
Phone (773) 544-1664
Fax
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019025678
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According to our database, Blanca Murillo Dds NPI is 1093968869, taxonomy code is 122300000X and license number is 019025678, license state is located at Illinois. Blanca Murillo Dds physically located at 3939 W Fullerton Ave, Chicago IL, 60647-2243. NPI Number 1033115704 has the healthcare provider type.

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1093968869 NPI number is provided on an as is basis without warranty of any kind. 1093968869 is maintained by the National Plan & Provider Enumeration System. The contents of Blanca Murillo Dds are for informational purposes only.