Organization
BIG SMILES DENTISTRY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMAARA MORRIS DDS (CEO)
(312) 890-9226
Entity
Organization
Contact information
Practice address
1304 W WASHINGTON BLVD STE B1, CHICAGO, IL 60607-1928
(312) 890-9226
Mailing address
1304 W WASHINGTON BLVD STE B1, CHICAGO, IL 60607-1928
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027070
IL
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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