Shiny Smiles INC

NPI #1063785806 in Chicago, Illinois

Provider Information

NPI Number: 1063785806
Entity Type: Organization
Organization Name: Shiny Smiles INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 9, 2012
Last Updated: Oct 15, 2013

Practice Location

Address: 3332 N WESTERN AVE
City: Chicago
State: Illinois
ZIP Code: 60618-6213
Phone: (312) 217-2223

Authorized Official

Name: DR. MILAD NOURAHMADI, DDS
Title: OWNER
Phone: (312) 217-2223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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