Organization
SMILE GROUP HIGHLAND PARK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN GREGOIRE (DIRECTOR)
(847) 727-4077
Entity
Organization
Contact information
Practice address
806 CENTRAL AVE STE 201, HIGHLAND PARK, IL 60035-5613
(847) 432-4131
Mailing address
1259 N WOOD ST APT 406, CHICAGO, IL 60622-8800
(847) 727-4077
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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