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Organization

DENTAL SMILES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMY SAMAAN DDS (OWNER)
(815) 744-4443
Entity
Organization

Contact information

Practice address
2410 W JEFFERSON ST, SUITE 108, JOLIET, IL 60435-6449
(815) 744-4443
(815) 744-4460
Mailing address
2410 W JEFFERSON ST, SUITE 108, JOLIET, IL 60435-6449
(815) 744-4443
(815) 744-4460

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026223
IL
1223G0001X
General Practice Dentistry
019028659
IL

Other

Enumeration date
03/20/2012
Last updated
03/20/2012
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