| Best Smile Dentistry, Llc | |
|
490 W Lake St 107 Roselle IL 60172-3583 | |
| (614) 657-8312 | |
| Not Available |
| Full Name | Best Smile Dentistry, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 490 W Lake St, Roselle, Illinois |
| Authorized Official Name and Position | Praveen Kumar Gajendrareddy (MEMBER/ MANAGER) |
| Authorized Official Contact | 6146578312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Best Smile Dentistry, Llc 1841 Maine Dr Elk Grove Village IL 60007-2728 Ph: (614) 657-8312 | Best Smile Dentistry, Llc 490 W Lake St 107 Roselle IL 60172-3583 Ph: (614) 657-8312 |
| NPI Number | 1326316746 |
|---|---|
| Provider Enumeration Date | 12/13/2011 |
| Last Update Date | 12/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326316746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 021.002403 (Illinois) | Primary |
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