Dental Smiles | |
2410 W Jefferson St Suite 108 Joliet IL 60435-6449 | |
(815) 744-4443 | |
(815) 744-4460 |
Full Name | Dental Smiles |
---|---|
Speciality | Dentist - General Practice |
Location | 2410 W Jefferson St, Joliet, Illinois |
Authorized Official Name and Position | Samy Samaan (OWNER) |
Authorized Official Contact | 8157444443 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dental Smiles 2410 W Jefferson St Suite 108 Joliet IL 60435-6449 Ph: (815) 744-4443 | Dental Smiles 2410 W Jefferson St Suite 108 Joliet IL 60435-6449 Ph: (815) 744-4443 |
NPI Number | 1619242906 |
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Provider Enumeration Date | 03/20/2012 |
Last Update Date | 03/20/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619242906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019026223 (Illinois) | Primary |
1223G0001X | Dentist - General Practice | 019028659 (Illinois) | Secondary |
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