Organization
HOUSE OS SMILES, PC
Active
Other names
Iroquois Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPAK AGARWAL D.M.D. (PRESIDENT)
(630) 416-0780
Entity
Organization
Contact information
Practice address
1163 E OGDEN AVE, SUITE 403, NAPERVILLE, IL 60563-1687
(630) 416-0780
(630) 416-6938
Mailing address
1163 E OGDEN AVE, SUITE 403, NAPERVILLE, IL 60563-1687
(630) 416-0780
(630) 416-6938
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9179275
—
IL
Enumeration date
03/17/2008
Last updated
03/17/2008
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