The Heart That Smiles Mobile Dentists

NPI #1407112980 in Homewood, Illinois

Provider Information

NPI Number: 1407112980
Entity Type: Organization
Organization Name: The Heart That Smiles Mobile Dentists
Primary Specialty: Dentist
Enumeration Date: Apr 9, 2012
Last Updated: Apr 9, 2012

Practice Location

Address: 2060 RIDGE RD
Address 2: N, SUITE 3 LOWER LEVEL
City: Homewood
State: Illinois
ZIP Code: 60430-1780
Phone: (312) 391-1913

Authorized Official

Name: DR. LATOI RAPHAEL THOMAS, D.D.S
Title: CEO
Phone: (312) 391-1913

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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