Organization
CONFIDENT SMILE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOEEN IKRAM (PRESIDENT)
(815) 975-9048
Entity
Organization
Contact information
Practice address
360 CHRYSLER DRIVE, BELVIDERE, IL 61008-6001
(815) 975-9048
(815) 975-9056
Mailing address
360 CHRYSLER DRIVE, BELVIDERE, IL 61008
(815) 975-9048
(815) 975-9056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026480
IL
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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