Organization
LOVE MY SMILE CHICAGO, LLC
Active
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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