Organization
SMILES ON NORTH PC
Active
Other names
Bucktown Wicker Park Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DEE REMENIUS LDH (GENERAL MANAGER)
(219) 980-0319
Entity
Organization
Contact information
Practice address
2303 W NORTH AVE, CHICAGO, IL 60647-8566
(773) 252-2303
Mailing address
6075 CLEVELAND CIR, MERRILLVILLE, IN 46410-2378
(219) 980-0319
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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