University Smiles Llc | |
229 W Saint Louis St # Sr Lebanon IL 62254-1515 | |
(618) 304-5988 | |
Not Available |
Full Name | University Smiles Llc |
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Speciality | Dentist - General Practice |
Location | 229 W Saint Louis St # Sr, Lebanon, Illinois |
Authorized Official Name and Position | Gena Farris Pineda (OWNER/DENTIST) |
Authorized Official Contact | 6183045988 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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University Smiles Llc 229 W Saint Louis St Lebanon IL 62254-1515 Ph: () - | University Smiles Llc 229 W Saint Louis St # Sr Lebanon IL 62254-1515 Ph: (618) 304-5988 |
NPI Number | 1902414436 |
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Provider Enumeration Date | 07/21/2020 |
Last Update Date | 07/21/2020 |
Identifier | Type | State | Issuer |
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1902414436 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |