Skyline Smiles LLC

NPI #1093057556 in Chicago, Illinois

Provider Information

NPI Number: 1093057556
Entity Type: Organization
Organization Name: Skyline Smiles LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 22, 2013
Last Updated: Mar 22, 2013

Practice Location

Address: 1017 W MADISON ST
City: Chicago
State: Illinois
ZIP Code: 60607
Phone: (312) 759-1120

Authorized Official

Name: DR. DEEPAK JOSEPH NEDUVELIL, DDS
Title: OWNER
Phone: (612) 710-3883

Specialties & Taxonomy Codes

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

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