Organization
BRAND NEW SMILE LLC
Active
Other names
Brand New Smile
Organization subpart
No
Provider details
NPI number
Authorized official
TIM STIRNEMAN DDS (OWNER)
(847) 854-7645
Entity
Organization
Contact information
Practice address
261 N RANDALL RD STE 102, LAKE IN THE HILLS, IL 60156-5999
(847) 915-3080
Mailing address
261 N RANDALL RD STE 102, LAKE IN THE HILLS, IL 60156-5999
(847) 915-3080
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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