| Smiles Of Hope Incorporated | |
|
3218 Kenilworth Ave Berwyn IL 60402-3003 | |
| (630) 935-4507 | |
| Not Available |
| Full Name | Smiles Of Hope Incorporated |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3218 Kenilworth Ave, Berwyn, Illinois |
| Authorized Official Name and Position | Richard William Ziegler (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6309354507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles Of Hope Incorporated 3218 Kenilworth Ave Berwyn IL 60402-3003 Ph: (630) 935-4507 | Smiles Of Hope Incorporated 3218 Kenilworth Ave Berwyn IL 60402-3003 Ph: (630) 935-4507 |
| NPI Number | 1770968125 |
|---|---|
| Provider Enumeration Date | 07/28/2015 |
| Last Update Date | 07/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770968125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019019096 (Illinois) | Primary |
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