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Organization
SHINY SMILES INC
Active
Organization
SHINY SMILES INC
Active
Other names
Novera Oral Health Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILAD NOURAHMADI DDS (OWNER)
(312) 217-2223
Entity
Organization
Contact information
Practice address
3332 N WESTERN AVE, CHICAGO, IL 60618-6213
(312) 217-2223
Mailing address
3332 N WESTERN AVE, CHICAGO, IL 60618-6213
(312) 217-2223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/09/2012
Last updated
10/15/2013
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