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Organization
GC SMILES PC
Active
Organization
GC SMILES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GELSY CALVO HERNANDEZ DMD (DENTIST)
(585) 287-0199
Entity
Organization
Contact information
Practice address
6144 S PULASKI RD, CHICAGO, IL 60629-4628
(773) 585-8000
(872) 267-7131
Mailing address
6144 S PULASKI RD, CHICAGO, IL 60629-4628
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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