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Organization
SMILE MORE DENTISTRY PLLC
Active
Organization
SMILE MORE DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALIHA KHAN DMD (AUTHORIZED OFFICIAL)
(773) 536-1155
Entity
Organization
Contact information
Practice address
6257 N CLARK ST, CHICAGO, IL 60660-1201
(773) 536-1155
Mailing address
6257 N CLARK ST, CHICAGO, IL 60660-1201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019.032598
LICENSE
IL
Enumeration date
08/11/2022
Last updated
08/11/2022
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