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Organization
SHINING SMILES LLC
Active
Organization
SHINING SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILAD NOURAHMADI NOURAHMADI D.D.S. (PRESIDENT)
(312) 217-2223
Entity
Organization
Contact information
Practice address
210 N BOLINGBROOK DR, BOLINGBROOK, IL 60440-2386
(312) 217-2223
Mailing address
208 N RIVER RD, NAPERVILLE, IL 60540-4040
(312) 217-2223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028115
IN
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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