Organization
MPOWERED SMILES ORTHODONTICS, P.C.
Active
Other names
Westfallen Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MILENA BULIC (PRESIDENT)
(816) 419-0874
Entity
Organization
Contact information
Practice address
137 VINE AVE, PARK RIDGE, IL 60068
(847) 823-5010
Mailing address
617 S WESTERN AVE, PARK RIDGE, IL 60068-4411
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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