Organization
RIVERWEST SMILE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANINE SOLIS (OFFICE MANAGER)
(312) 455-9800
Entity
Organization
Contact information
Practice address
875 N MILWAUKEE AVE, CHICAGO, IL 60622-4188
(312) 455-9800
(312) 455-9803
Mailing address
875 N MILWAUKEE AVE, CHICAGO, IL 60622-4188
(312) 455-9800
(312) 455-9803
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019016207
IL
Other
Enumeration date
09/20/2006
Last updated
04/13/2009
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