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Organization
UNIVERSITY SMILES LLC
Active
Organization
UNIVERSITY SMILES LLC
Active
Other names
Creating Smiles Lebanon, Creating Smiles Family and Cosmetic Dentistry Lebanon
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENA FARRIS PINEDA DDS (OWNER/DENTIST)
(618) 304-5988
Entity
Organization
Contact information
Practice address
229 W SAINT LOUIS ST # SR, LEBANON, IL 62254-1515
(618) 304-5988
Mailing address
229 W SAINT LOUIS ST, LEBANON, IL 62254-1515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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