Organization
BEST SMILES FAMILY DENTAL QC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCH RIVERA (PRESIDENT)
(630) 877-3900
Entity
Organization
Contact information
Practice address
2180 W KIMBERLY RD, SPACE #8, DAVENPORT, IA 52806-5368
(630) 877-3900
Mailing address
2216 GLOUCESTON LN, NAPERVILLE, IL 60564-8476
(630) 877-3900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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