Organization
SMART SMILES DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LENA CASIMIR D.D.S (OWNER)
(312) 922-3411
Entity
Organization
Contact information
Practice address
850 S WABASH AVE, SUITE #250, CHICAGO, IL 60605-3641
(312) 922-3411
Mailing address
850 S. WABASH, SUITE #250, CHICAGO, IL 60605
(312) 922-3411
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019026337
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019026337
—
IL
Enumeration date
09/30/2015
Last updated
09/30/2015
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