| Shining Smiles Plainfield Inc | |
|
13400 S Route 59 Suite 104 Plainfield IL 60585-5826 | |
| (312) 217-2223 | |
| Not Available |
| Full Name | Shining Smiles Plainfield Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13400 S Route 59, Plainfield, Illinois |
| Authorized Official Name and Position | Milad Nourahmadi (PRESIDENT) |
| Authorized Official Contact | 3122172223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Smiles Plainfield Inc 616 W Fulton St Unit 612 Chicago IL 60661-1251 Ph: () - | Shining Smiles Plainfield Inc 13400 S Route 59 Suite 104 Plainfield IL 60585-5826 Ph: (312) 217-2223 |
| NPI Number | 1376976563 |
|---|---|
| Provider Enumeration Date | 08/12/2013 |
| Last Update Date | 08/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376976563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019028115 (Illinois) | Primary |
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