Great Smiles Dental Pc | |
2410 W Jefferson St Ste 108 Joliet IL 60435-6451 | |
(815) 744-4443 | |
Not Available |
Full Name | Great Smiles Dental Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 2410 W Jefferson St Ste 108, Joliet, Illinois |
Authorized Official Name and Position | Kais Rabadi (PRESIDENT/DENTIST) |
Authorized Official Contact | 7087150805 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Great Smiles Dental Pc 13075 S 80th Ave Palos Heights IL 60463-2466 Ph: (708) 715-0805 | Great Smiles Dental Pc 2410 W Jefferson St Ste 108 Joliet IL 60435-6451 Ph: (815) 744-4443 |
NPI Number | 1891328027 |
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Provider Enumeration Date | 02/17/2020 |
Last Update Date | 02/17/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891328027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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