| Angel Smile Dental Care, Pc | |
|
2352 S Elmhurst Rd Mt Prospect IL 60056-5805 | |
| (773) 968-9864 | |
| (847) 979-8370 |
| Full Name | Angel Smile Dental Care, Pc |
|---|---|
| Speciality | Dentist |
| Location | 2352 S Elmhurst Rd, Mt Prospect, Illinois |
| Authorized Official Name and Position | Vasyl M Baranovsky (OWNER) |
| Authorized Official Contact | 8476212287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Smile Dental Care, Pc 2352 S Elmhurst Rd Mt Prospect IL 60056-5805 Ph: (773) 968-9864 | Angel Smile Dental Care, Pc 2352 S Elmhurst Rd Mt Prospect IL 60056-5805 Ph: (773) 968-9864 |
| NPI Number | 1669880258 |
|---|---|
| Provider Enumeration Date | 07/26/2014 |
| Last Update Date | 07/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669880258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019028276 (Illinois) | Primary |
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