Organization
MY SMILE INC
Active
Other names
Smiles of Des Plaines
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIDAYATHULLA KHAN DMD (PRESIDENT)
(224) 766-9876
Entity
Organization
Contact information
Practice address
1475 E OAKTON ST, SUITE 2, DES PLAINES, IL 60018-2166
(224) 443-4988
Mailing address
6147 LINCOLN AVE UNIT E, MORTON GROVE, IL 60053-2900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030623
IL
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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