| Phocused On Smiles | |
|
1324 E 79th St Chicago IL 60619-3402 | |
| (773) 221-4224 | |
| Not Available |
| Full Name | Phocused On Smiles |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1324 E 79th St, Chicago, Illinois |
| Authorized Official Name and Position | Philip Alexander (CEO) |
| Authorized Official Contact | 7088783016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phocused On Smiles 24644 S Mulberry Ln Crete IL 60417-3789 Ph: (708) 878-3016 | Phocused On Smiles 1324 E 79th St Chicago IL 60619-3402 Ph: (773) 221-4224 |
| NPI Number | 1679048334 |
|---|---|
| Provider Enumeration Date | 10/09/2018 |
| Last Update Date | 11/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679048334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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