Organization
LOVE MY SMILE CHICAGO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHARINE STEVENS DDS, MS (OWNER)
(773) 382-1771
Entity
Organization
Contact information
Practice address
2112 N CLYBOURN AVE UNIT B, CHICAGO, IL 60614-0800
(858) 699-6741
Mailing address
2112 N CLYBOURN AVE UNIT B, CHICAGO, IL 60614-0800
(773) 382-1771
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021002679
IL
Other
Enumeration date
05/12/2018
Last updated
01/13/2019
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