| Pinehurst Smile Center Ltd. | |
|
2182 Lake Cook Road Algonquin IL 60102 | |
| (312) 656-4008 | |
| (630) 238-1509 |
| Full Name | Pinehurst Smile Center Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2182 Lake Cook Road, Algonquin, Illinois |
| Authorized Official Name and Position | Lenny Vihnanek (MANAGER) |
| Authorized Official Contact | 3126564008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinehurst Smile Center Ltd. 2182 Lake Cook Road Algonquin IL 60102 Ph: (312) 656-4008 | Pinehurst Smile Center Ltd. 2182 Lake Cook Road Algonquin IL 60102 Ph: (312) 656-4008 |
| NPI Number | 1700136611 |
|---|---|
| Provider Enumeration Date | 09/18/2012 |
| Last Update Date | 09/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700136611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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