Shining Smiles Llc | |
210 N Bolingbrook Dr Bolingbrook IL 60440-2386 | |
(312) 217-2223 | |
Not Available |
Full Name | Shining Smiles Llc |
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Speciality | Dentist - General Practice |
Location | 210 N Bolingbrook Dr, Bolingbrook, Illinois |
Authorized Official Name and Position | Milad Nourahmadi Nourahmadi (PRESIDENT) |
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 Llc 208 N River Rd Naperville IL 60540-4040 Ph: (312) 217-2223 | Shining Smiles Llc 210 N Bolingbrook Dr Bolingbrook IL 60440-2386 Ph: (312) 217-2223 |
NPI Number | 1972816650 |
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Provider Enumeration Date | 07/22/2010 |
Last Update Date | 07/22/2010 |
Identifier | Type | State | Issuer |
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1972816650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019028115 (Indiana) | Primary |
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