Organization
MT PROSPECT SMILES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMEET BAGAI D.D.S (PRESIDENT)
(847) 392-4270
Entity
Organization
Contact information
Practice address
724 E NORTHWEST HWY, MT PROSPECT, IL 60056-3442
(847) 392-4270
Mailing address
724 E NORTHWEST HWY, MT PROSPECT, IL 60056-3442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025044
IL
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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