Organization
SMILES OF CARPENTERSVILLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDHYA GRACE PALLAM DDS (PRESIDENT)
(847) 783-6544
Entity
Organization
Contact information
Practice address
27 S WESTERN AVE, CARPENTERSVILLE, IL 60110-1715
(224) 805-0502
(847) 496-5057
Mailing address
27 S WESTERN AVE STE E, CARPENTERSVILLE, IL 60110-1715
(224) 805-0502
(847) 783-6552
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
05/23/2019
Last updated
12/03/2024
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