Organization
SMILE GALLERY ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALENA BUKHAR DMD (PRESIDENT)
(347) 394-8165
Entity
Organization
Contact information
Practice address
5080&5082 N LINCOLN AVE, CHICAGO, IL 60625
(347) 394-8165
Mailing address
2505 W CARMEN AVE UNIT 302, CHICAGO, IL 60625-7554
(347) 394-8165
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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