Smiles Of Tomorrow,pc
Dentist in South Holland, IL. Organization (NPI-2).
NPI number1578898144
StatusActive
Last updated in NPPESOct 14, 2009
Details
- NPI
- 1578898144
- Entity type
- Organization (NPI-2)
- Legal business name
- Smiles Of Tomorrow,pc
- Organization subpart
- No
- Enumeration date
- Oct 14, 2009
- Last updated
- Oct 14, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019023986 | IL | Yes |
Practice location
1959 E 166th PlSouth Holland, IL 60473-2666
Phone 773-426-7198
Mailing address
430 E 162nd StSuite #260
South Holland, IL 60473-2258
Phone 773-426-7198 · Fax 708-895-2161
Authorized official
Dionne Nicole Henderson
President
7734267198
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