Star Smiles Orthodontics and Pediatric Dentistry

NPI #1013347160 in Chicago, Illinois

Provider Information

NPI Number: 1013347160
Entity Type: Organization
Organization Name: Star Smiles Orthodontics and Pediatric Dentistry
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Nov 26, 2013
Last Updated: Nov 26, 2013

Practice Location

Address: 3012 W FULLERTON AVE
City: Chicago
State: Illinois
ZIP Code: 60647-2940
Phone: (773) 384-3500

Authorized Official

Name: DR. ANDRE JHAM, DDS
Title: ORTHODONTICS
Phone: (773) 384-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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