Brand New Smile LLC
NPI #1699446864 in Lake in the Hills, Illinois
Provider Information
- NPI Number
- 1699446864
- Entity Type
- Organization
- Organization Name
- Brand New Smile LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 27, 2021
- Last Updated
- Sep 27, 2021
Practice Location
- Address
- 261 N RANDALL RD STE 102
- State
- Illinois
- ZIP Code
- 60156-5999
- Phone
- (847) 915-3080
Authorized Official
- Name
- TIM STIRNEMAN, DDS
- Title
- OWNER
- Phone
- (847) 854-7645
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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