| Southwest Smiling Dental P.c. | |
|
11141 S Kedzie Ave Chicago IL 60655-2329 | |
| (773) 779-1606 | |
| Not Available |
| Full Name | Southwest Smiling Dental P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11141 S Kedzie Ave, Chicago, Illinois |
| Authorized Official Name and Position | Jianjun Hao (OWNER) |
| Authorized Official Contact | 7739411010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Smiling Dental P.c. 836 S Miller St Chicago IL 60607-4207 Ph: (773) 941-1010 | Southwest Smiling Dental P.c. 11141 S Kedzie Ave Chicago IL 60655-2329 Ph: (773) 779-1606 |
| NPI Number | 1447816616 |
|---|---|
| Provider Enumeration Date | 05/14/2019 |
| Last Update Date | 05/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447816616 | NPI | - | NPPES |
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