Smiles For Life, Pc | |
4479 Central Ave Western Springs IL 60558-1714 | |
(708) 579-5437 | |
(708) 550-4778 |
Full Name | Smiles For Life, Pc |
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Speciality | Clinic/center - Dental |
Location | 4479 Central Ave, Western Springs, Illinois |
Authorized Official Name and Position | Sukhjit Kaur (OWNER) |
Authorized Official Contact | 7085795437 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smiles For Life, Pc 4479 Central Ave Western Springs IL 60558-1714 Ph: (708) 579-5437 | Smiles For Life, Pc 4479 Central Ave Western Springs IL 60558-1714 Ph: (708) 579-5437 |
NPI Number | 1720356041 |
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Provider Enumeration Date | 12/01/2011 |
Last Update Date | 03/26/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720356041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 019.028214 (Illinois) | Primary |
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