| Lucky Smile Dental Llc | |
|
3074 W Il Route 60 Mundelein IL 60060-4270 | |
| (847) 970-7070 | |
| (847) 970-7077 |
| Full Name | Lucky Smile Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 3074 W Il Route 60, Mundelein, Illinois |
| Authorized Official Name and Position | Lakshmi Uppala (OWNER) |
| Authorized Official Contact | 4842411888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucky Smile Dental Llc 367 Satinwood Ter Buffalo Grove IL 60089-4605 Ph: (484) 241-1888 | Lucky Smile Dental Llc 3074 W Il Route 60 Mundelein IL 60060-4270 Ph: (847) 970-7070 |
| NPI Number | 1235675919 |
|---|---|
| Provider Enumeration Date | 01/18/2017 |
| Last Update Date | 01/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235675919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019029466 (Illinois) | Primary |
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