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Organization
SMILE VIEW DENTAL
Active
Organization
SMILE VIEW DENTAL
Active
Parent organization
TWO RIVERS DENTAL PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TWO RIVERS DENTAL PC
Authorized official
SOHAIL S SHAFI (MANAGER)
(630) 842-3705
Entity
Organization
Contact information
Practice address
956 N NELTNOR BLVD, WEST CHICAGO, IL 60185-5982
(630) 293-7777
Mailing address
1730 PARK ST STE 106, NAPERVILLE, IL 60563-2609
(630) 293-7777
(708) 599-6609
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024809
IL
Other
Enumeration date
10/16/2013
Last updated
12/10/2020
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