| Smiledentist, Pc | |
|
303 Andrews Dr Suite 301 Belvidere IL 61008-3918 | |
| (815) 547-7300 | |
| (815) 547-7308 |
| Full Name | Smiledentist, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 303 Andrews Dr, Belvidere, Illinois |
| Authorized Official Name and Position | Sang Uk Woo (DENTIST) |
| Authorized Official Contact | 8155477300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiledentist, Pc 303 Andrews Drive Suite 301 Belvidere IL 61008 Ph: (815) 547-7300 | Smiledentist, Pc 303 Andrews Dr Suite 301 Belvidere IL 61008-3918 Ph: (815) 547-7300 |
| NPI Number | 1346634656 |
|---|---|
| Provider Enumeration Date | 03/25/2015 |
| Last Update Date | 03/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346634656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019021646 (Illinois) | Primary |
| 1223G0001X | Dentist - General Practice | 019026573 (Illinois) | Secondary |
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