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Organization
THE SMILE GROUP LLC
Active
Organization
THE SMILE GROUP LLC
Active
Other names
Koala Center for Sleep Disorders
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT OWEN WOLF DDS (OWNER)
(216) 973-0552
Entity
Organization
Contact information
Practice address
111 N WABASH AVE, SUITE 1412, CHICAGO, IL 60602-1903
(309) 282-8565
(309) 265-0156
Mailing address
11825 STATE ROUTE 40, SUITE 100, DUNLAP, IL 61525-8842
(309) 282-8565
(309) 265-0156
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.028496
IL
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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