Organization
JUST SMILES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMIKA WESLEY (OFFICE MANAGER)
(708) 865-0200
Entity
Organization
Contact information
Practice address
2133 S 17TH AVE, BROADVIEW, IL 60155-3019
(708) 865-0200
(708) 865-1730
Mailing address
2133 S 17TH AVE, BROADVIEW, IL 60155-3019
(708) 865-0200
(708) 865-1730
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
12/09/2019
Last updated
01/13/2025
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