| Smiledentist, P.c. | |
|
3403 W. Lawrence Ave Suite 202 Chicago IL 60625 | |
| (773) 539-1003 | |
| (773) 539-1036 |
| Full Name | Smiledentist, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 3403 W. Lawrence Ave, Chicago, Illinois |
| Authorized Official Name and Position | Sang U. Woo (DENTIST) |
| Authorized Official Contact | 7739888971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiledentist, P.c. 3403 W Lawrence Ave Suite 202 Chicago IL 60625-5165 Ph: (773) 539-1003 | Smiledentist, P.c. 3403 W. Lawrence Ave Suite 202 Chicago IL 60625 Ph: (773) 539-1003 |
| NPI Number | 1801290556 |
|---|---|
| Provider Enumeration Date | 10/09/2014 |
| Last Update Date | 10/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801290556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019021646 (Illinois) | Primary |
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