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Shining Smiles Riverside Inc.

NPI #1699214155 in Riverside, Illinois

Provider Information

NPI Number
1699214155
Entity Type
Organization
Organization Name
Shining Smiles Riverside Inc.
Primary Specialty
Dentist
Enumeration Date
Feb 16, 2017
Last Updated
Feb 16, 2017

Practice Location

Address
2720 HARLEM AVE
City
Riverside
State
Illinois
ZIP Code
60546-1738
Phone
(708) 321-1023

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist

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