Organization
KTSMILES, INC
Active
Other names
Smile Suite Orthodontics, The smile Suite
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY SMITH DDS (ORTHODONTIST)
(847) 833-1272
Entity
Organization
Contact information
Practice address
2422 MAIN ST, EVANSTON, IL 60202-1548
(847) 264-9330
(618) 217-5367
Mailing address
2422 MAIN ST, EVANSTON, IL 60202-1548
(847) 264-9330
(618) 217-2367
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
04/10/2020
Last updated
09/17/2024
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