Organization
CLEAR SMILE CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEEKYOUNG JO (PRESIDENT)
(847) 476-4050
Entity
Organization
Contact information
Practice address
332 SKOKIE VALLEY RD, HIGHLAND PARK, IL 60035-4415
(224) 249-9500
Mailing address
1146 OXFORD RD, DEERFIELD, IL 60015-3325
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060011269
IL
Other
Enumeration date
05/14/2014
Last updated
12/18/2014
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