# SMILEDENTIST, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SMILEDENTIST, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346634656
- **Legal business name:** SMILEDENTIST, PC
- **Authorized official:** DR. SANG UK WOO DDS (DENTIST)
- **Authorized official phone:** (815) 547-7300

## Contact information

- **Practice address:** 303 ANDREWS DR, SUITE 301, BELVIDERE, IL 61008-3918
- **Practice address phone:** (815) 547-7300
- **Practice address fax:** (815) 547-7308
- **Mailing address:** 303 ANDREWS DRIVE, SUITE 301, BELVIDERE, IL 61008
- **Mailing address phone:** (815) 547-7300
- **Mailing address fax:** (815) 547-7308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 019021646 | IL | Yes |
| 1223G0001X | General Practice Dentistry | 019026573 | IL | — |

## Other

- **Enumeration date:** 03/25/2015
- **Last updated:** 03/25/2015