| Petite Smiles Pediatric Dentistry | |
|
7119 North Ave Oak Park IL 60302-1002 | |
| (708) 934-9379 | |
| Not Available |
| Full Name | Petite Smiles Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7119 North Ave, Oak Park, Illinois |
| Authorized Official Name and Position | Gabriel Murphy (OWNER) |
| Authorized Official Contact | 4234574512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petite Smiles Pediatric Dentistry 7119 North Ave Oak Park IL 60302-1002 Ph: (708) 934-9379 | Petite Smiles Pediatric Dentistry 7119 North Ave Oak Park IL 60302-1002 Ph: (708) 934-9379 |
| NPI Number | 1336920321 |
|---|---|
| Provider Enumeration Date | 10/06/2023 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336920321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
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