Organization
DENTAL PLANET LLC
Active
Other names
SIGNATURE SMILE DENTAL SPA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUHANAD AL KHATIB DMD (OWNER)
(562) 331-0210
Entity
Organization
Contact information
Practice address
711 PLAZA DR STE 6, CHESTERTON, IN 46304-5506
(219) 484-9587
Mailing address
1322 S PRAIRIE AVE UNIT 1901, CHICAGO, IL 60605-3087
(562) 331-0210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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