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Organization
SHINING SMILES RIVERSIDE INC.
Active
Organization
SHINING SMILES RIVERSIDE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILAD NOURAHMADI (PRESIDENT)
(312) 217-2223
Entity
Organization
Contact information
Practice address
2720 HARLEM AVE, RIVERSIDE, IL 60546-1738
(708) 321-1023
Mailing address
210 N BOLINGBROOK DR, BOLINGBROOK, IL 60440-2386
(630) 972-4010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028115
IL
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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