Beyond Smiles Of Park Ridge | |
650 N Northwest Hwy Ste E Park Ridge IL 60068-2554 | |
(847) 292-2700 | |
Not Available |
Full Name | Beyond Smiles Of Park Ridge |
---|---|
Speciality | Clinic/center - Dental |
Location | 650 N Northwest Hwy Ste E, Park Ridge, Illinois |
Authorized Official Name and Position | Kerry L Lowery (DENTIST) |
Authorized Official Contact | 7737712605 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Beyond Smiles Of Park Ridge 650 N Northwest Hwy Ste E Park Ridge IL 60068-2554 Ph: (847) 292-2700 | Beyond Smiles Of Park Ridge 650 N Northwest Hwy Ste E Park Ridge IL 60068-2554 Ph: (847) 292-2700 |
NPI Number | 1952959074 |
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Provider Enumeration Date | 09/02/2019 |
Last Update Date | 09/02/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952959074 | NPI | - | NPPES |
1912019142 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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