Hollywood Smile Ltd
Dentist in Lincolnwood, IL. Organization (NPI-2).
NPI number1497827059
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1497827059
- Entity type
- Organization (NPI-2)
- Legal business name
- Hollywood Smile Ltd
- Organization subpart
- No
- Enumeration date
- Nov 15, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
6439 N Cicero AveLincolnwood, IL 60712-3407
Phone 847-679-9122
Mailing address
Po Box 46261Chicago, IL 60646-0261
Phone 847-679-9122
Authorized official
Olga Yarigina
Owner
8476799122
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