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Organization
MY SMILES DENTAL CENTER CRESCENT INC.
Active
Organization
MY SMILES DENTAL CENTER CRESCENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIDAYATHULLA KHAN D.M.D (PRESIDENT)
(224) 766-9876
Entity
Organization
Contact information
Practice address
307 S MILWAUKEE AVE STE 101, WHEELING, IL 60090-5035
(847) 306-5574
(847) 789-7193
Mailing address
307 S MILWAUKEE AVE STE 101, WHEELING, IL 60090-5035
(847) 306-5574
(847) 789-7193
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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