# SMILE DIAGNOSTIC SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659038321
- **Authorized official:** JALALUDDIN FAWAD MOHAMMED (PRESIDENT)
- **Authorized official phone:** (646) 641-1983

## Contact information

- **Practice address:** 9028 FEDERAL CT APT 1A, DES PLAINES, IL 60016-7014
- **Practice address phone:** (646) 641-1983
- **Mailing address:** 9028 FEDERAL CT APT 1A, DES PLAINES, IL 60016-7014
- **Mailing address phone:** (646) 641-1983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/17/2021
- **Last updated:** 11/17/2021
