Organization
SMART MOUTH DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN WEGNER BARTO D.D.S. (PRESIDENT)
(630) 963-7766
Entity
Organization
Contact information
Practice address
7105 JANES AVE, WOODRIDGE, IL 60517-2321
(630) 963-7766
(630) 963-7850
Mailing address
7105 JANES AVE, WOODRIDGE, IL 60517-2321
(630) 963-7766
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19026697
IL
Other
Enumeration date
03/24/2015
Last updated
05/25/2016
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