Organization
SWEET TOOTH ODONTOLOGA LLC
Active
Other names
Archer Heights Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA VILLAFANE DMD (OWNER)
(630) 532-0207
Entity
Organization
Contact information
Practice address
4732 S PULASKI RD, CHICAGO, IL 60632-4114
(773) 376-1111
Mailing address
200 W PARKVIEW DR, ADDISON, IL 60101-3727
(630) 532-0207
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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