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Organization

HOLY FAMILY HEALTHY SMILES DBA NORTHSHORE SMILES FAMILY DENTAL CARE

Active
Parent organization
HOLY FAMILY HEALTHY SMILES
Other names
Northshore smiles Family Dental Care Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOLY FAMILY HEALTHY SMILES
Authorized official
DR. LIYA KUNNASSERY DDS (DENTIST/OWNER)
(708) 307-3240
Entity
Organization

Contact information

Practice address
830 EAST RAND ROAD SUITE 11, MOUNT PROSPECT, IL 60056
(224) 306-9060
(224) 306-9059
Mailing address
832 PONY LN, NORTHBROOK, IL 60062
(708) 307-3240

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
06/13/2022
Last updated
06/13/2022
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