Smiles Of Northlake Corp | |
32 E North Ave Northlake IL 60164-2500 | |
(732) 325-4395 | |
Not Available |
Full Name | Smiles Of Northlake Corp |
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Speciality | Dentist - General Practice |
Location | 32 E North Ave, Northlake, Illinois |
Authorized Official Name and Position | Mansi Mehta (PRESIDENT) |
Authorized Official Contact | 7323254395 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smiles Of Northlake Corp 32 E North Ave Northlake IL 60164-2500 Ph: (708) 562-1105 | Smiles Of Northlake Corp 32 E North Ave Northlake IL 60164-2500 Ph: (732) 325-4395 |
NPI Number | 1265102487 |
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Provider Enumeration Date | 09/18/2021 |
Last Update Date | 10/17/2022 |
Identifier | Type | State | Issuer |
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1265102487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Chicago Metro Dental Services, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 N Wolf Rd, Northlake, IL 60164 Phone: 214-821-6468 | |
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