| Smile Fixation, PC | |
|
7039 Roosevelt Rd Berwyn IL 60402-1059 | |
| (708) 484-2480 | |
| Not Available |
| Full Name | Smile Fixation, PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7039 Roosevelt Rd, Berwyn, Illinois |
| Authorized Official Name and Position | Berenice Lopez (GENERAL DENTIST) |
| Authorized Official Contact | 7084842480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Fixation, PC 7039 Roosevelt Rd Berwyn IL 60402-1059 Ph: (708) 484-2480 | Smile Fixation, PC 7039 Roosevelt Rd Berwyn IL 60402-1059 Ph: (708) 484-2480 |
| NPI Number | 1811331978 |
|---|---|
| Provider Enumeration Date | 04/19/2013 |
| Last Update Date | 01/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811331978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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