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Organization
SMILE DIAGNOSTIC SERVICES INC
Active
Organization
SMILE DIAGNOSTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JALALUDDIN FAWAD MOHAMMED (PRESIDENT)
(646) 641-1983
Entity
Organization
Contact information
Practice address
9028 FEDERAL CT APT 1A, DES PLAINES, IL 60016-7014
(646) 641-1983
Mailing address
9028 FEDERAL CT APT 1A, DES PLAINES, IL 60016-7014
(646) 641-1983
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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