Organization
SMILES OF HOPE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD WILLIAM ZIEGLER DDS (EXECUTIVE DIRECTOR)
(630) 935-4507
Entity
Organization
Contact information
Practice address
3218 KENILWORTH AVE, BERWYN, IL 60402-3003
(630) 935-4507
Mailing address
3218 KENILWORTH AVE, BERWYN, IL 60402-3003
(630) 935-4507
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019019096
IL
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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