Organization
LUCKY SMILE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKSHMI UPPALA DDS (OWNER)
(484) 241-1888
Entity
Organization
Contact information
Practice address
35 HUNTINGTON LN, WHEELING, IL 60090-6908
(847) 229-1700
(847) 947-8705
Mailing address
367 SATINWOOD TER, BUFFALO GROVE, IL 60089-4605
(484) 241-1888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029466
IL
Other
Enumeration date
01/18/2017
Last updated
04/22/2024
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