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Organization
SHINING SMILES 5 INC
Active
Organization
SHINING SMILES 5 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILAD NOURAHMADI DDS (SECRETARY)
(630) 972-4010
Entity
Organization
Contact information
Practice address
618 S ROUTE 59, SUITE 122, NAPERVILLE, IL 60540-0937
(630) 972-4010
Mailing address
210 N BOLINGBROOK DR, BOLINGBROOK, IL 60440-2386
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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