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Organization
SMILE ILLINOIS LLC
Active
Organization
SMILE ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGO YELLIN WOLL DDS (DENTAL DIRECTOR)
(888) 833-8441
Entity
Organization
Contact information
Practice address
8700 W BRYN MAWR AVE, SUITE 800 SOUTH, CHICAGO, IL 60631-3512
(888) 833-8441
(888) 330-4331
Mailing address
PO BOX 250310, WEST BLOOMFIELD, MI 48325-0310
(888) 833-8441
(888) 330-4331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/23/2006
Last updated
06/18/2008
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