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Organization
SMILES LLC
Active
Organization
SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHSAN AHMED (DENTIST)
(630) 458-0555
Entity
Organization
Contact information
Practice address
601 W ARMY TRAIL BLVD, UNIT D, ADDISON, IL 60101-3299
(630) 458-0555
Mailing address
601 W ARMY TRAIL BLVD, ADDISON, IL 60101-3299
(630) 458-0555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024689
—
1223G0001X
General Practice Dentistry
019025114
IL
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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