| Brand New Smile Llc | |
|
261 N Randall Rd Ste 102 Lake In The Hills IL 60156-5999 | |
| (847) 915-3080 | |
| Not Available |
| Full Name | Brand New Smile Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 261 N Randall Rd Ste 102, Lake In The Hills, Illinois |
| Authorized Official Name and Position | Tim Stirneman (OWNER) |
| Authorized Official Contact | 8478547645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brand New Smile Llc 261 N Randall Rd Ste 102 Lake In The Hills IL 60156-5999 Ph: (847) 915-3080 | Brand New Smile Llc 261 N Randall Rd Ste 102 Lake In The Hills IL 60156-5999 Ph: (847) 915-3080 |
| NPI Number | 1699446864 |
|---|---|
| Provider Enumeration Date | 09/27/2021 |
| Last Update Date | 09/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699446864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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