Organization
CELEBRITYSMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JET CHIRANAND D.D.S. (OWNER/DENTIST)
(773) 883-1557
Entity
Organization
Contact information
Practice address
3208 N SOUTHPORT AVE, CHICAGO, IL 60657-3204
(773) 883-1557
Mailing address
3208 N SOUTHPORT AVE, CHICAGO, IL 60657-3204
(773) 883-1557
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
03/23/2008
Last updated
03/23/2008
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