Organization
WHITE SMILE, INC
Active
Other names
belvidere dental designs
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIMANSHI THAKKAR DDS (OWNER/DENTIST)
(815) 544-2626
Entity
Organization
Contact information
Practice address
121 S STATE ST, BELVIDERE, IL 61008-3628
(815) 544-2626
Mailing address
121 S STATE ST, BELVIDERE, IL 61008-3628
(815) 544-2626
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
019026435
IL
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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