| St John Smiles Pc | |
|
9486 Wicker Ave Saint John IN 46373-9400 | |
| (219) 232-8956 | |
| Not Available |
| Full Name | St John Smiles Pc |
|---|---|
| Speciality | Dentist |
| Location | 9486 Wicker Ave, Saint John, Indiana |
| Authorized Official Name and Position | Abhishek Nagaraj (CO-OWNER) |
| Authorized Official Contact | 2192328956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St John Smiles Pc 13247 S Baltimore Ave Chicago IL 60633-1431 Ph: () - | St John Smiles Pc 9486 Wicker Ave Saint John IN 46373-9400 Ph: (219) 232-8956 |
| NPI Number | 1477220267 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 08/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477220267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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