Organization
KTSMILES, INC
Active
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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