| First Smiles Dental, Pc | |
|
278 Memorial Dr Suite B Crystal Lake IL 60014-6246 | |
| (815) 455-3110 | |
| Not Available |
| Full Name | First Smiles Dental, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 278 Memorial Dr, Crystal Lake, Illinois |
| Authorized Official Name and Position | Scott Goldman (PRESIDENT) |
| Authorized Official Contact | 8479870322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Smiles Dental, Pc 278 Memorial Dr Suite B Crystal Lake IL 60014-6246 Ph: () - | First Smiles Dental, Pc 278 Memorial Dr Suite B Crystal Lake IL 60014-6246 Ph: (815) 455-3110 |
| NPI Number | 1053657809 |
|---|---|
| Provider Enumeration Date | 12/26/2012 |
| Last Update Date | 12/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053657809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 019027333 (Illinois) | Primary |
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