Organization
SOKOLOV DENTAL LTD, DBA HOLLYWOOD SMILE, LTD
Active
Other names
Hollywood Smile Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
INNA SOKOLOV DMD (PRESIDENT)
(773) 370-1900
Entity
Organization
Contact information
Practice address
6439 N CICERO AVE, LINCOLNWOOD, IL 60712-3407
(773) 316-7816
Mailing address
6439 N CICERO AVE, LINCOLNWOOD, IL 60712-3407
(773) 316-7816
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235781956
—
IL
Enumeration date
05/27/2021
Last updated
05/27/2021
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