Organization
START SMILING DENTAL IMPLANT CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL SAMUEL PETRUNGARO DDS (DOCTOR)
(847) 386-6351
Entity
Organization
Contact information
Practice address
330 W FRONTAGE RD FL 2B, NORTHFIELD, IL 60093-3467
(847) 386-6351
Mailing address
330 W FRONTAGE RD FL 2B, NORTHFIELD, IL 60093-3467
(847) 386-6351
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
09/11/2025
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