Smile Avenue Dental PC

NPI #1114190675 in Chicago, Illinois

Provider Information

NPI Number: 1114190675
Entity Type: Organization
Organization Name: Smile Avenue Dental PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 4, 2008
Last Updated: Aug 30, 2008

Practice Location

Address: 2620 N NARRAGANSETT AVE # B13
City: Chicago
State: Illinois
ZIP Code: 60639-1081
Phone: (312) 520-5545

Authorized Official

Name: DR. KYUI HYUN KIM, DDS
Title: PRESIDENT
Phone: (312) 520-5545

Specialties & Taxonomy Codes

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

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