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Organization
SMILE WITH US PC
Active
Organization
SMILE WITH US PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOGDAN MIHAI TARAN (PRESIDENT)
(773) 733-6344
Entity
Organization
Contact information
Practice address
529 TENNEY ST, KEWANEE, IL 61443-3746
(773) 733-6344
Mailing address
501 DODGE ST, KEWANEE, IL 61443-3258
(773) 733-6344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027941
IL
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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