My Smiles Dental Center Crescent Inc.

NPI #1013647445 in Wheeling, Illinois

Provider Information

NPI Number: 1013647445
Entity Type: Organization
Organization Name: My Smiles Dental Center Crescent Inc.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 17, 2022
Last Updated: Jun 17, 2022

Practice Location

Address: 307 S MILWAUKEE AVE STE 101
City: Wheeling
State: Illinois
ZIP Code: 60090-5035
Phone: (847) 306-5574

Authorized Official

Name: HIDAYATHULLA KHAN, D.M.D
Title: PRESIDENT
Phone: (224) 766-9876

Specialties & Taxonomy Codes

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

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