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40 W 320 Lafox Road Suite D St. Charles IL 60175 | |
| (630) 762-0000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 40 W 320 Lafox Road, St. Charles, Illinois |
| Authorized Official Name and Position | Michael Joseph Teuscher (OWNER) |
| Authorized Official Contact | 6307620000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
40 W 320 Lafox Road Suite D St. Charles IL 60175 Ph: (630) 762-0000 | 40 W 320 Lafox Road Suite D St. Charles IL 60175 Ph: (630) 762-0000 |
| NPI Number | 1225196173 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 11/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225196173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019019620 (Illinois) | Primary |
Smiles4u Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001. E. Main St, Suite F, St. Charles, IL 60174 Phone: 630-513-5500 Fax: 630-513-5501 | |