Happy Faces Kids & Family Dentistry

NPI #1558730416 in Flora, Illinois

Provider Information

NPI Number: 1558730416
Entity Type: Organization
Organization Name: Happy Faces Kids & Family Dentistry
Primary Specialty: Dentist
Enumeration Date: Sep 22, 2015
Last Updated: Sep 22, 2015

Practice Location

Address: 501 N MAIN ST
Address 2: 10
City: Flora
State: Illinois
ZIP Code: 62839-1405
Phone: (618) 662-2025

Authorized Official

Name: DR. KRISHNA GORANTLA, DDS
Title: PRESIDENT
Phone: (812) 229-2675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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