| Envision A Smile Incorporated | |
|
2019 Dean St St Charles IL 60174-4801 | |
| (630) 883-0111 | |
| Not Available |
| Full Name | Envision A Smile Incorporated |
|---|---|
| Speciality | Dentist |
| Location | 2019 Dean St, St Charles, Illinois |
| Authorized Official Name and Position | Rick Brar (OWNER) |
| Authorized Official Contact | 6308830111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Envision A Smile Incorporated 2019 Dean St St Charles IL 60174-4801 Ph: (630) 883-0111 | Envision A Smile Incorporated 2019 Dean St St Charles IL 60174-4801 Ph: (630) 883-0111 |
| NPI Number | 1730621566 |
|---|---|
| Provider Enumeration Date | 11/10/2016 |
| Last Update Date | 11/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730621566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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