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Organization
SMILE TEAM, PC
Active
Organization
SMILE TEAM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK QUIGLESS SR. DDS (OWNER)
(618) 397-7868
Entity
Organization
Contact information
Practice address
7210 W MAIN ST, SUITE 203, BELLEVILLE, IL 62223-3038
(314) 397-7868
Mailing address
7210 W MAIN ST, SUITE 203, BELLEVILLE, IL 62223-3038
(314) 397-7868
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-024000
IL
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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