Best Smile Dentistry, LLC

NPI #1326316746 in Roselle, Illinois

Provider Information

NPI Number
1326316746
Entity Type
Organization
Organization Name
Best Smile Dentistry, LLC
Primary Specialty
Dentist - Periodontics
Enumeration Date
Dec 13, 2011
Last Updated
Dec 13, 2011

Practice Location

Address
490 W LAKE ST
Address 2
107
ZIP Code
60172-3583
Phone
(614) 657-8312

Authorized Official

Name
PRAVEEN KUMAR GAJENDRAREDDY, DDS
Title
MEMBER/ MANAGER
Phone
(614) 657-8312

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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