Center For Smiles
Clinic/Center, Dental in Lincolnwood, IL. Organization (NPI-2).
NPI number1336668359
StatusActive
Last updated in NPPESSep 11, 2017
Details
- NPI
- 1336668359
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Smiles
- Organization subpart
- No
- Enumeration date
- Sep 11, 2017
- Last updated
- Sep 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 019031094 | IL | Yes |
Practice location
7366 N Lincoln Ave Ste 103Lincolnwood, IL 60712-1738
Phone 773-527-9141
Mailing address
6618 N Kilpatrick AveLincolnwood, IL 60712-3308
Phone 773-527-9141
Authorized official
Kristine Lily Guliana
Owner
7735279141
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