Organization
ELK GROVE SMILE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VISHAL ADVANI DDS (OWNER/DENTIST)
(847) 437-3250
Entity
Organization
Contact information
Practice address
70 TURNER AVE, ELK GROVE VILLAGE, IL 60007-3955
(847) 437-3250
Mailing address
70 TURNER AVE, ELK GROVE VILLAGE, IL 60007-3955
(847) 437-3250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.029196
IL
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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