Shining Smiles Wheaton Inc.

NPI #1184198038 in Wheaton, Illinois

Provider Information

NPI Number: 1184198038
Entity Type: Organization
Organization Name: Shining Smiles Wheaton Inc.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 14, 2019
Last Updated: Jan 14, 2019

Practice Location

Address: 225 RICE LAKE SQ
City: Wheaton
State: Illinois
ZIP Code: 60189-2136
Phone: (630) 343-7002

Authorized Official

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

Specialties & Taxonomy Codes

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

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