Organization
EXQUISITE SMILES DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CORY STITES (INSURANCE COORDINATOR)
(630) 869-5857
Entity
Organization
Contact information
Practice address
1515 N HARLEM AVE STE 200, OAK PARK, IL 60302-1277
(708) 848-2853
Mailing address
1699 E WOODFIELD RD STE 102, SCHAUMBURG, IL 60173-4955
(630) 869-5857
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
02/03/2022
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