Organization
CREATING SMILES LLC
Active
Other names
Creating Smiles Family and Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENA FARRIS PINEDA DDS (DENTIST/ OWNER)
(618) 345-7676
Entity
Organization
Contact information
Practice address
101 UNITED DR, SUITE 150, COLLINSVILLE, IL 62234-7428
(618) 345-7676
(618) 345-7603
Mailing address
101 UNITED DR, SUITE 150, COLLINSVILLE, IL 62234-7428
(618) 345-7676
(618) 345-7603
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
019026456
IL
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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