Hollywood Smile Ltd | |
6439 N Cicero Ave Lincolnwood IL 60712-3407 | |
(847) 679-9122 | |
Not Available |
Full Name | Hollywood Smile Ltd |
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Speciality | Dentist |
Location | 6439 N Cicero Ave, Lincolnwood, Illinois |
Authorized Official Name and Position | Olga Yarigina (OWNER) |
Authorized Official Contact | 8476799122 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hollywood Smile Ltd Po Box 46261 Chicago IL 60646-0261 Ph: (847) 679-9122 | Hollywood Smile Ltd 6439 N Cicero Ave Lincolnwood IL 60712-3407 Ph: (847) 679-9122 |
NPI Number | 1497827059 |
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Provider Enumeration Date | 11/15/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497827059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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