Shining Smiles 4, Inc | |
110 N Larkin Ave Joliet IL 60435-6603 | |
(630) 972-4010 | |
Not Available |
Full Name | Shining Smiles 4, Inc |
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Speciality | Dentist - General Practice |
Location | 110 N Larkin Ave, Joliet, Illinois |
Authorized Official Name and Position | Milad Nourahmadi (SECRETARY) |
Authorized Official Contact | 3122172223 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shining Smiles 4, Inc 210 N Bolingbrook Dr Bolingbrook IL 60440-2386 Ph: (815) 310-3220 | Shining Smiles 4, Inc 110 N Larkin Ave Joliet IL 60435-6603 Ph: (630) 972-4010 |
NPI Number | 1922547264 |
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Provider Enumeration Date | 02/20/2017 |
Last Update Date | 02/20/2017 |
Identifier | Type | State | Issuer |
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1922547264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019028115 (Illinois) | Primary |
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