My Smile INC

NPI #1023549078 in Des Plaines, Illinois

Provider Information

NPI Number
1023549078
Entity Type
Organization
Organization Name
My Smile INC
Primary Specialty
Dentist
Enumeration Date
Mar 22, 2017
Last Updated
Mar 22, 2017

Practice Location

Address
1475 E OAKTON ST
Address 2
SUITE 2
ZIP Code
60018-2166
Phone
(224) 443-4988

Authorized Official

Name
DR. HIDAYATHULLA KHAN, DMD
Title
PRESIDENT
Phone
(224) 766-9876

Specialties & Taxonomy Codes

Specialty
Dentist

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