Organization
SHINING SMILES WHEATON INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILAD NOURAHMADI DDS (PRESIDENT)
(312) 217-2223
Entity
Organization
Contact information
Practice address
225 RICE LAKE SQ, WHEATON, IL 60189-2136
(630) 343-7002
Mailing address
210 N BOLINGBROOK DR, BOLINGBROOK, IL 60440-2386
(312) 217-2223
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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