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Organization
STAR SMILE P.C.
Active
Organization
STAR SMILE P.C.
Active
Parent organization
STAR SMILE P.C.
Other names
Mchenry Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
STAR SMILE P.C.
Authorized official
DR. YANA LYUSHKOVA (PRESIDENT)
(815) 385-6545
Entity
Organization
Contact information
Practice address
1311 N GREEN ST, MCHENRY, IL 60050-4452
(815) 385-6545
Mailing address
1311 N GREEN ST, MCHENRY, IL 60050-4452
(815) 385-6545
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028012
IL
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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