| The Heart That Smiles Mobile Dentists | |
|
2060 Ridge Rd N, Suite 3 Lower Level Homewood IL 60430-1780 | |
| (312) 391-1913 | |
| Not Available |
| Full Name | The Heart That Smiles Mobile Dentists |
|---|---|
| Speciality | Dentist |
| Location | 2060 Ridge Rd, Homewood, Illinois |
| Authorized Official Name and Position | Latoi Raphael Thomas (CEO) |
| Authorized Official Contact | 3123911913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Heart That Smiles Mobile Dentists 2060 Ridge Rd N, Suite 3 Lower Level Homewood IL 60430-1780 Ph: () - | The Heart That Smiles Mobile Dentists 2060 Ridge Rd N, Suite 3 Lower Level Homewood IL 60430-1780 Ph: (312) 391-1913 |
| NPI Number | 1407112980 |
|---|---|
| Provider Enumeration Date | 04/09/2012 |
| Last Update Date | 04/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407112980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019028142 (Illinois) | Primary |
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