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Organization
PERFECT SMILE DENTAL SPA
Active
Organization
PERFECT SMILE DENTAL SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTEN DINKHA (PRESIDENT)
(773) 528-3384
Entity
Organization
Contact information
Practice address
2155 W ROSCOE ST STE 1N, CHICAGO, IL 60618-6261
(773) 528-3384
Mailing address
2155 W ROSCOE ST STE 1N, CHICAGO, IL 60618-6261
(773) 528-3384
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028256
IL
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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