| University Smiles Llc | |
|
229 W Saint Louis St # Sr Lebanon IL 62254-1515 | |
| (618) 304-5988 | |
| Not Available |
| Full Name | University Smiles Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 229 W Saint Louis St # Sr, Lebanon, Illinois |
| Authorized Official Name and Position | Gena Farris Pineda (OWNER/DENTIST) |
| Authorized Official Contact | 6183045988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Smiles Llc 229 W Saint Louis St Lebanon IL 62254-1515 Ph: () - | University Smiles Llc 229 W Saint Louis St # Sr Lebanon IL 62254-1515 Ph: (618) 304-5988 |
| NPI Number | 1902414436 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 07/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902414436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |