| Graceful Smiles Dental | |
|
615 S Randall Rd Ste 110 Saint Charles IL 60174-1564 | |
| (847) 414-3560 | |
| Not Available |
| Full Name | Graceful Smiles Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 615 S Randall Rd Ste 110, Saint Charles, Illinois |
| Authorized Official Name and Position | George Mathew (DENTIST) |
| Authorized Official Contact | 8474143560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graceful Smiles Dental 3520 Chancery Ln Carpentersville IL 60110-3467 Ph: (847) 414-3560 | Graceful Smiles Dental 615 S Randall Rd Ste 110 Saint Charles IL 60174-1564 Ph: (847) 414-3560 |
| NPI Number | 1306365234 |
|---|---|
| Provider Enumeration Date | 09/12/2017 |
| Last Update Date | 09/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306365234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019.027466 (Illinois) | Primary |
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