Organization
ANGEL SMILE DENTAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASYL M BARANOVSKY DDS (OWNER)
(847) 621-2287
Entity
Organization
Contact information
Practice address
2352 S ELMHURST RD, MT PROSPECT, IL 60056-5805
(773) 968-9864
(847) 979-8370
Mailing address
2352 S ELMHURST RD, MT PROSPECT, IL 60056-5805
(773) 968-9864
(847) 979-8370
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028276
IL
Other
Enumeration date
07/26/2014
Last updated
07/26/2014
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