Organization
IDENTICAL SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO COPELLO DMD (OWNER)
(404) 786-3114
Entity
Organization
Contact information
Practice address
4647 W 103RD ST STE 1M, OAK LAWN, IL 60453-4874
(708) 424-2150
Mailing address
4647 W 103RD ST STE 1M, OAK LAWN, IL 60453-4874
(708) 424-2150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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