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Organization
STAR SMILE
Active
Organization
STAR SMILE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YANA A LYUSHKOVA DDS (PRESIDENT)
(847) 529-4499
Entity
Organization
Contact information
Practice address
1130 N DEARBORN ST, #2405, CHICAGO, IL 60610-2756
(847) 529-4499
Mailing address
1130 N DEARBORN ST, #2405, CHICAGO, IL 60610-2756
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028012
IL
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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