| Smile Downers Grove | |
|
5149 Main St Downers Grove IL 60515-4615 | |
| (630) 541-3486 | |
| Not Available |
| Full Name | Smile Downers Grove |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5149 Main St, Downers Grove, Illinois |
| Authorized Official Name and Position | Elizabeth Drew Spence (OWNER) |
| Authorized Official Contact | 6305413486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Downers Grove 5149 Main St Downers Grove IL 60515-4615 Ph: (630) 541-3486 | Smile Downers Grove 5149 Main St Downers Grove IL 60515-4615 Ph: (630) 541-3486 |
| NPI Number | 1376961482 |
|---|---|
| Provider Enumeration Date | 04/04/2014 |
| Last Update Date | 04/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376961482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019.027445 (Illinois) | Primary |
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