| Smiles Of Northlake Corp | |
|
32 E North Ave Northlake IL 60164-2500 | |
| (732) 325-4395 | |
| Not Available |
| Full Name | Smiles Of Northlake Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 32 E North Ave, Northlake, Illinois |
| Authorized Official Name and Position | Mansi Mehta (PRESIDENT) |
| Authorized Official Contact | 7323254395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles Of Northlake Corp 32 E North Ave Northlake IL 60164-2500 Ph: (708) 562-1105 | Smiles Of Northlake Corp 32 E North Ave Northlake IL 60164-2500 Ph: (732) 325-4395 |
| NPI Number | 1265102487 |
|---|---|
| Provider Enumeration Date | 09/18/2021 |
| Last Update Date | 10/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265102487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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