Fuentesburgosservicecorporation

NPI #1114097383 in Aurora, Illinois

Provider Information

NPI Number: 1114097383
Entity Type: Organization
Organization Name: Fuentesburgosservicecorporation
Primary Specialty: Dentist
Enumeration Date: Nov 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 205 CLARK ST
City: Aurora
State: Illinois
ZIP Code: 60505-4240
Phone: (630) 264-8042

Authorized Official

Name: DR. NUBIA E. FUENTES, D.D.S.
Title: PRESIDENT
Phone: (630) 264-8042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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