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Organization
SMILES ON NORTH PC
Active
Organization
SMILES ON NORTH PC
Active
Other names
Bucktown Wicker Park Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DEE REMENIUS LDH (GENERAL MANAGER)
(219) 980-0319
Entity
Organization
Contact information
Practice address
2303 W NORTH AVE, CHICAGO, IL 60647-8566
(773) 252-2303
Mailing address
6075 CLEVELAND CIR, MERRILLVILLE, IN 46410-2378
(219) 980-0319
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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