Citywide Smiles, P.C.
Clinic/Center, Dental in Grayslake, IL. Organization (NPI-2).
NPI number1578810941
StatusActive
Last updated in NPPESAug 5, 2012
Details
- NPI
- 1578810941
- Entity type
- Organization (NPI-2)
- Legal business name
- Citywide Smiles, P.C.
- Organization subpart
- No
- Enumeration date
- Aug 5, 2012
- Last updated
- Aug 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 019020335 | IL | Yes |
Practice location
34779 N Linden AveGrayslake, IL 60030-1112
Phone 847-276-8409
Mailing address
34779 N Linden AveGrayslake, IL 60030-1112
Phone 847-276-8409
Authorized official
Eric Smyth
Dentist/Owner
8472768409
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