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Fuentesburgosservicecorporation — NPI 1114097383, Aurora, IL | NPI Central

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NPI 1114097383

OrganizationActive

Fuentesburgosservicecorporation

NPI 1114097383 · Dentist · Aurora, IL

Provider details

NPI number: 1114097383
Entity type: Organization
Primary specialty: DentistDental Providers
Organization subpart: No
Authorized official: Nubia Fuentes, President(630) 264-8042

Specialties & taxonomies

DentistPrimary122300000X
Dental Providers

Practice location

205 Clark St

Aurora, IL 60505-4240

Phone: (630) 264-8042

Fax: (630) 264-8139

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

205 Clark St

Aurora, IL 60505-4240

Other names (DBA / former)

Doing business as: Los Andes Dental and Medical Clinic

Registry dates

Enumerated: 2006-11-08
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.