| Confident Smile Dental Pc | |
|
360 Chrysler Drive Belvidere IL 61008-6001 | |
| (815) 975-9048 | |
| (815) 975-9056 |
| Full Name | Confident Smile Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 360 Chrysler Drive, Belvidere, Illinois |
| Authorized Official Name and Position | Moeen Ikram (PRESIDENT) |
| Authorized Official Contact | 8159759048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Confident Smile Dental Pc 360 Chrysler Drive Belvidere IL 61008 Ph: (815) 975-9048 | Confident Smile Dental Pc 360 Chrysler Drive Belvidere IL 61008-6001 Ph: (815) 975-9048 |
| NPI Number | 1265740575 |
|---|---|
| Provider Enumeration Date | 09/21/2010 |
| Last Update Date | 09/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265740575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019026480 (Illinois) | Primary |
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