Organization
METROSMILES - JOLIET DENTAL PC
Active
Parent organization
METROSMILES - CICERO DENTAL, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
METROSMILES - CICERO DENTAL, P.C.
Authorized official
CHRISTOS TSALIAGOS (PRESIDENT)
(708) 499-0900
Entity
Organization
Contact information
Practice address
2625 W JEFFERSON ST, JOLIET, IL 60435-6432
(708) 499-0900
Mailing address
4842 W CERMAK RD, CICERO, IL 60804-2531
(708) 222-8302
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/28/2014
Last updated
08/11/2014
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