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Organization
SMILE CREATIONS
Active
Organization
SMILE CREATIONS
Active
Other names
Smile Creations Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN AMAYUN DMD (OWNER)
(630) 687-2974
Entity
Organization
Contact information
Practice address
1100 NERGE RD STE 209, ELK GROVE VILLAGE, IL 60007-3259
(847) 891-6600
Mailing address
1100 NERGE RD STE 209, ELK GROVE VILLAGE, IL 60007-3259
(847) 891-6600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-026102
IL
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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