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Organization
PINEHURST SMILE CENTER LTD.
Active
Organization
PINEHURST SMILE CENTER LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENNY VIHNANEK (MANAGER)
(312) 656-4008
Entity
Organization
Contact information
Practice address
2182 LAKE COOK ROAD, ALGONQUIN, IL 60102
(312) 656-4008
(630) 238-1509
Mailing address
2182 LAKE COOK ROAD, ALGONQUIN, IL 60102
(312) 656-4008
(630) 238-1509
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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