Organization
LESLEE RUTHERFORD DDS PC
Active
Other names
Smiles Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLEE RUTHERFORD D.D.S. (PEDIATRIC DENTIST OWNER)
(312) 487-1787
Entity
Organization
Contact information
Practice address
1229 W WASHINGTON BLVD, SUITE 110, CHICAGO, IL 60607-2132
(312) 487-1787
(877) 622-7078
Mailing address
1257 E 46TH ST, 1W, CHICAGO, IL 60653-4595
(773) 678-6680
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019026451
IL
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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