Shining Smiles Wheaton Inc. | |
225 Rice Lake Sq Wheaton IL 60189-2136 | |
(630) 343-7002 | |
Not Available |
Full Name | Shining Smiles Wheaton Inc. |
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Speciality | Clinic/center - Dental |
Location | 225 Rice Lake Sq, Wheaton, Illinois |
Authorized Official Name and Position | Milad 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 Wheaton Inc. 210 N Bolingbrook Dr Bolingbrook IL 60440-2386 Ph: (312) 217-2223 | Shining Smiles Wheaton Inc. 225 Rice Lake Sq Wheaton IL 60189-2136 Ph: (630) 343-7002 |
NPI Number | 1184198038 |
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Provider Enumeration Date | 01/14/2019 |
Last Update Date | 01/14/2019 |
Identifier | Type | State | Issuer |
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1184198038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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