| Identical Smiles Llc | |
|
4647 W 103rd St Ste 1m Oak Lawn IL 60453-4874 | |
| (708) 424-2150 | |
| Not Available |
| Full Name | Identical Smiles Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4647 W 103rd St Ste 1m, Oak Lawn, Illinois |
| Authorized Official Name and Position | Mario Copello (OWNER) |
| Authorized Official Contact | 4047863114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Identical Smiles Llc 4647 W 103rd St Ste 1m Oak Lawn IL 60453-4874 Ph: (708) 424-2150 | Identical Smiles Llc 4647 W 103rd St Ste 1m Oak Lawn IL 60453-4874 Ph: (708) 424-2150 |
| NPI Number | 1760377279 |
|---|---|
| Provider Enumeration Date | 06/12/2025 |
| Last Update Date | 06/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760377279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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