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Organization
DENTAL SMILES OF JOLIET
Active
Organization
DENTAL SMILES OF JOLIET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI KHAN DDS (PRESIDENT)
(213) 820-6487
Entity
Organization
Contact information
Practice address
2410 W JEFFERSON ST STE 108, JOLIET, IL 60435-6451
(213) 820-6484
Mailing address
2271 SABLE OAKS DR, NAPERVILLE, IL 60564-5665
(213) 820-6487
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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