Organization
ALL SMILES FAMILY DENTAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POONAM B. WADHWANI DDS (PRESIDENT)
(630) 935-2168
Entity
Organization
Contact information
Practice address
1705 W BOUGHTON RD, BOLINGBROOK, IL 60490-1550
(630) 226-9700
Mailing address
1705 W BOUGHTON RD, BOLINGBROOK, IL 60490-1550
(630) 226-9700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-025368
IL
Other
Enumeration date
12/10/2006
Last updated
11/10/2011
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