Organization
BEAUTIFUL SMILES MOBILE DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONOR CECILIA VILLALTA DDS (MANAGING DENTIST)
(217) 722-4565
Entity
Organization
Contact information
Practice address
2547 W SPRINGFIELD AVE, APT 2, CHAMPAIGN, IL 61821-2820
(217) 552-8503
Mailing address
2547 W SPRINGFIELD AVE, APT 2, CHAMPAIGN, IL 61821-2820
(217) 552-8503
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
019029681
IL
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us