Star Smile P.c.

NPI #1316375843 in Mchenry, Illinois

Provider Information

NPI Number: 1316375843
Entity Type: Organization
Organization Name: Star Smile P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: STAR SMILE P.C.
Primary Specialty: Dentist
Enumeration Date: Oct 18, 2013
Last Updated: Oct 18, 2013

Practice Location

Address: 1311 N GREEN ST
City: Mchenry
State: Illinois
ZIP Code: 60050-4452
Phone: (815) 385-6545

Authorized Official

Name: DR. YANA LYUSHKOVA
Title: PRESIDENT
Phone: (815) 385-6545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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