Lakeview Smiles | |
916 W Belmont Ave Suite 201 Chicago IL 60657-4427 | |
(773) 929-1150 | |
(773) 929-0831 |
Full Name | Lakeview Smiles |
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Speciality | Clinic/center - Dental |
Location | 916 W Belmont Ave, Chicago, Illinois |
Authorized Official Name and Position | Grace H Lee (DENTIST/OWNER) |
Authorized Official Contact | 7739291150 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakeview Smiles 916 W Belmont Ave Suite 201 Chicago IL 60657-4427 Ph: (773) 929-1150 | Lakeview Smiles 916 W Belmont Ave Suite 201 Chicago IL 60657-4427 Ph: (773) 929-1150 |
NPI Number | 1437456712 |
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Provider Enumeration Date | 02/22/2011 |
Last Update Date | 02/22/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437456712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 019.026497 (Illinois) | Primary |
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