| Signature Smiles Dental Care Ltd | |
|
1128 Lake Street Suite 1 Oak Park IL 60301-1058 | |
| (708) 386-6190 | |
| (708) 386-3047 |
| Full Name | Signature Smiles Dental Care Ltd |
|---|---|
| Speciality | Dentist |
| Location | 1128 Lake Street, Oak Park, Illinois |
| Authorized Official Name and Position | Rosemarie Buen (OWNER) |
| Authorized Official Contact | 7083866190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Smiles Dental Care Ltd 1128 Lake Street Suite 1 Oak Park IL 60301-1058 Ph: (708) 386-6190 | Signature Smiles Dental Care Ltd 1128 Lake Street Suite 1 Oak Park IL 60301-1058 Ph: (708) 386-6190 |
| NPI Number | 1043336621 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5698189512 |
|---|---|
| Medicare Enrollment ID | O20210203002695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043336621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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