Provider Demographics
NPI:1669782736
Name:MARIA SINIS DMD LTD
Entity type:Organization
Organization Name:MARIA SINIS DMD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINIS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-663-6804
Mailing Address - Street 1:1120 MIDWAY RD
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-3938
Mailing Address - Country:US
Mailing Address - Phone:224-213-7289
Mailing Address - Fax:773-262-9850
Practice Address - Street 1:6428 N CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-5209
Practice Address - Country:US
Practice Address - Phone:773-973-0531
Practice Address - Fax:773-262-9850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN19022122300000X
IL019028502122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty